关节镜微创手术治疗膝关节半月板损伤

目的探讨关节镜微创手术治疗膝关节半月板损伤的方法及疗效。方法回顾性分析应用膝关节镜诊治膝关节半月板损伤患者63例,施行半月板部分切除成形术16例,部分切除及囊肿切除3例,盘状半月板部分切除成形术4例,半月板全切除5例,半月板破裂缝合35例（包括合并有前十字韧带损伤3例,前十字韧带和内侧副韧带同时损伤1例,后十字韧带损伤1例）。采用Lysholm评分评定膝关节功能,术前Lysholm评分平均为（48.6±6.2）分。结果全部获得随访,随访时间为1～23个月,平均10个月。术后Lysholm评分平均为（90.5±5.8）分,较术前有显著提高,差异有统计学意义（t=4.12,P〈0.01）。结论关节镜微创手术治疗半月板损伤,综合应用缝合技术可达到最大限度保留半月板,创伤小、恢复快、疗效佳,并可同时处理其他病变。

Minimally invasive treatment of meniscus injuries of the knee under arthroscope

Objective To investigate the therapeutic efficacy of meniscus injuries under arthroscope.Methods In this study,63 cases with meniscus injuries received operative treatment under arthroscope were analyzed retrospectively. Partial meniscectomy was performed in 11 cases.Cystectomy plus partial meniscectomy was performed in 3.Partial meniscectomy for discoid was performed in 4.Total meniscectomy was performed in 5.Meniscus repair was performed in 35, including 3 cases of anterior cruciate ligament injury,1 case of anterior and interior cruciate ligament injuries,and 1 case of posterior cruciate ligament injury.Results All the patients were followed up for 2 to 23 months.According to Lysholm score,the average score of knee function was 90.5±5.8.Compared with the average Lysholm score of preoperation （48.6±6.2）,there was statistically significant difference between preoperation and postoperation（P0.01）.Conclusion It has many advantages by using orthroscope to treat meniscus injury,such as retaining meniscus to the most de- gree,less trauma and a good therapeutic efficacy.Meanwhile,it can manage the other pathologic changes.