| 1582例膝关节镜手术意外及并发症分析 |
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| 引用本文： | 徐志宏,陈东阳,邱旭升,蒋青. 1582例膝关节镜手术意外及并发症分析[J]. 中国矫形外科杂志, 2010, 18(6): 444-447 |
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| 作者姓名： | 徐志宏 陈东阳 邱旭升 蒋青 |
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| 作者单位： | 南京大学医学院附属鼓楼医院关节疾病诊治中心,210008 |
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| 摘 要： | [目的]分析膝关节镜手术意外及并发症发生的原因。[方法]本组1 582例(男771例,女811例)。其中半月板成形440例,骨性关节炎关节清理398例,交叉韧带重建380例,关节粘连松解30例,髁间嵴撕脱骨折55例,髌骨脱位手术26例,创伤性关节炎关节清理30例,游离体取出术46例,各种滑膜炎行滑膜活检或切除38例,其他139例。[结果]平均随访60个月(24~117个月),术中、术后发生的各种意外及并发症共36例,其中关节内器械断裂2例,关节内正常组织损伤10例,关节镜周围血管神经损伤6例,冲洗液外渗3例,术后明确下肢深静脉血栓9例。关节内血肿3例,切口感染2例,小腿广泛皮下气肿1例。总结2005年前及2005年后的病例术中术后发生的意外及并发症发生率有明显差异。[结论]膝关节镜术中意外的原因主要为关节镜操作技术生疏、解剖不熟悉及显露不清所致,多发生于开展手术的早期。如避免上述因素可以降低并发症的发生。而及时的发现并处理则可以避免严重并发症的发生。
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| 关 键 词： | 关节镜 内窥镜 并发症 |
Analyzing of the accidents and complications in 1582 knee arthroscopic surgeries |
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| XU Zhi-hong,CHEN Dong-yang,QIU Xu-sheng,et al.. Analyzing of the accidents and complications in 1582 knee arthroscopic surgeries[J]. Orthopedic Journal of China, 2010, 18(6): 444-447 |
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| Authors: | XU Zhi-hong CHEN Dong-yang QIU Xu-sheng et al. |
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| Affiliation: | XU Zhi-hong,CHEN Dong-yang,QIU Xu-sheng,et al.The Center of Diagnosis , Treatment for Joint Disease,Affiliated Drum Tower Hospital,Medical College of Nanjing University,Nanjing 210008,China |
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| Abstract: | [Objective]To analyze the cause of the accidents and complications in the knee arthroscopic surgeries.[Method]The study was carried out on 1582 cases(771 males and 811 females) of knee arthroscopy including 440 meniscus,398 osteoarthritis,380 cruciate ligments,30 knee ankylosis,55 avulsion fractures of anterior cruciate ligament from the tibial,26 patellar dislocation,30 post-traumatic arthritis,46 loose body,38 synovitis,and 139 other diseases.[Result]The patents were followed for an average time of 60 mon... |
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| Keywords: | arthroscopy endoscopic complication |
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