关节镜下外侧支持带松解治疗髌骨外侧高压综合征临床疗效观察

目的：探讨关节镜下外侧支持带松解术治疗髌骨外侧高压综合征（EL PS ）的临床疗效。方法选择2009年6月-2013年8月新疆医科大学附属中医医院关节外科收治的100例髌骨外侧高压综合征患者，将其分为两组：关节镜下行外侧支持带松解术58例（ALRR组），保守治疗42例（对照组），参考Lysholm膝关节功能评分评价临床疗效。结果两组患者随访3∽15个月，平均8．6个月，对照组和 ALRR组有效率分别为85．71％和982．8％；两组患者治疗后Lysholm评分均较治疗前提高，差异有统计学意义（P ＜0.05）；两组患者治疗后Lysholm评分差异有统计学意义（P ＜0.05），ALRR组高于对照组。结论关节镜下外侧支持带松解术可有效地减轻髌骨外侧高压导致的髌股关节疼痛，且具备术后康复快、并发症少、膝关节功能恢复好等优势，其远期疗效有待进一步观察。

Clinical observation of arthroscopic lateral retinacular release in the treatment of patella lateral pressure syndrome

Objective To discuss the effective and clinical value of arthroscopic lateral retinaculum release treatment in excessive lateral pressure syndrome .Methods From June 2009 to August 2013 ,110 patients with patellar lateral pressure syndrome were randomly divided into lateral retinaculum under arthroscopy release （ALRR） treatment group （58 cases ,conservative treatment group （42 cases ,two groups of pa-tients with preoperative general data no statistically significant difference （P 〉0.05） ,there was no statis-tically significant difference Lysholm score before treatment （P 〉0.05） .Results Two groups of patients were followed up for 3-15 months ,an average of 8 6. months ,conservative treatment group and ALRR group effectiveness 85 7.1% ,98 2.8% respectively ;Lysholm score after treatment in both groups was im-proved ,the difference was statistically significant （P 〈 0 .05）;Lysholm score after treatment in both groups ,the difference was statistically significant （P 〈0.05）;Conclusion The lateral retinaculum release technique can effectively relieve patellar lateral patellofemoral joint pain and other symptoms caused by high pressure syndrome ,and less complications .