关节镜诊治髌内侧滑膜皱襞综合征80例

目的：探讨髌内侧滑膜皱襞综合征的临床特点、诊断及疗效。方法：回顾分析2003年1月~2011年1月收治的80例关节镜诊治的髌内侧滑膜皱襞综合征患者,按Sakakibara法分析其关节镜下形态,按Outerbridge法分析股骨内侧髁及股骨滑车的关节软骨损伤程度。关节镜下行皱襞切除术,术后随访,按Lysholm法进行疗效评定。结果：80例髌内侧滑膜皱襞综合征患者中,术前正确诊断62例,14例术前诊断为半月板损伤,4例为膝关节痛待查。镜下形态A型5例,B型21例,C型38例,D型16例。术后随访60例,随访时间8个月~8年,平均43个月,优良率86.7%。结论：术前根据临床症状诊断髌内侧滑膜皱襞综合征比较困难,关节镜是诊断和治疗髌内侧滑膜皱襞综合征的有效方法。

Diagnosis and treatment of medial patella synovial plica syndrome by arthroscopy

Objective：To explore the clinical characteristic,diagnosis and outcome of medial patella synovial plica syndrome by arthroscopy.Methods：A retrospective survey was performed in 80 patients treated by arthroscopy from January 2003 to January 2011.The arthroscopic type（using the Sakakibara classification）of medial plica、chondral injury（using the Outerbridge classification）of medial femoral condyle and the trochlea of the femur were recorded.Arthroscopic plicaectomy were performed for all the cases.Results：Among 80 cases of medial patella synovial plica syndrome,14 cases were diagnosed with meniscus injury preoperatively,there were 5 cases graded into type A,21 cases into type B,38 cases into type C and 16 cases into type D.Sixty cases were followed up with mean time 43 months（range from 8 months to 8 years）.The rate of excellent and good were 86.7% according to Lysholm scores.Conclusion：Accurate preoperative diagnosis of medial patella synovial plica syndrome is difficult,diagnose and treat it by arthroscopy is still an effective method.