| 盘状半月板损伤的关节镜手术方法探讨与康复 |
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| 引用本文： | 程开明,赖志忠,侯波.盘状半月板损伤的关节镜手术方法探讨与康复[J].中国医疗前沿,2008,3(14). |
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| 作者姓名： | 程开明 赖志忠 侯波 |
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| 作者单位： | 佛山市顺德区陈村医院,广东,佛山,528313 |
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| 摘 要： | 目的探讨关节镜下盘状半月板损伤的手术方法、效果及术后康复;方法关节镜下诊断盘状半月板并损伤54例,39例行半月板成形术,保留半月板边缘6￣8mm,9例行盘状半月板次全切除术,6例行盘状半月板完全切除术,术后即行膝关节功能锻炼,入院与术后1月、1年行膝关节活动范围测量,其中47例获1￣4年10个月的随访。结果按照Lkeuchi评价方法,优38例(70.4%),良11例(20.0%),可5例(9.3%),差0例,优良率为90.4%。入院时膝关节活动范围屈曲平均1180±160,伸直100±40,术后1月膝关节活动范围屈曲平均1330±40,伸直00±30,术后1年膝关节活动范围屈曲平均1350±30,伸直00±30,经统计学分析,术后1月、1年与入院时比较均有显著性差异。结论:1年￣4年10个月的随访显示,关节镜下盘状半月板成形术创伤小,优良率达90.4%,疗效满意。
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| 关 键 词： | 关节镜 盘状半月板 半月板成形术 |
Arthroscopic Management and Rehabilitation of Discoid Meniscus. |
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| Abstract: | Objective To evaluate the surgical technique, curative effect and rehabilitation after operation. of arthroscopic management for the discoid meniscus. Methods 54 cases discoid menisci were diagnosed under the arthroscopy, and were analyzed at follow-up 1~4 years and 10 months. 39 cases discoid menisci were undergone reshaping and remained 6~8 mm edge of the discoid menisci. 9 cases were received sub-total menisectomy. 6 cases total menisectomy. Started function exercise of the knee next day of operation. Me... |
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| Keywords: | Arthroscopy Discoid meniscus Meniscus reshaping |
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