膝前痛的关节镜下病因分析及诊断

Analysis and diagnosis of the anterior knee pain under arthroscopy

目的采用膝关节镜检术结合临床资料探讨引起膝前痛的关节内致病因素。方法对该院自2000～2004年就诊的怀疑关节内因素导致的膝前痛病人120例,全部进行膝关节镜探查手术。结果结合术中镜下及术后病理结果证实髌骨软骨软化症42例、髌股关节炎22例、髌股排列紊乱症21例、滑膜皱襞综合征15例;关节慢性非感染性炎症性疾病10例、髌前脂肪垫综合征7例、股骨髁间凹狭窄症3例。结论利用膝关节镜技术并结合临床资料、影像学检查可对膝前痛的关节内因素进行病因分析及明确诊断,具有微创、高效、有限治疗等特点,是一种值得推荐的好方法。

[Objective] Discuss the articular factor of anterior kne.e pain under arthroscopy combined clinical data. [Methods] 120 anterior knee pain patients who were suspected intra-articular factor were treated through approach of arthroscopic operation from 2000 to 2004. [Results] In all patients,42 were confirmed chondramalacia of patella, 22 OA of patellofemoral joint, 21 disorder of patellofemoral joint, 15 synovial plica syndrome, 10 chronic articular inflammatory diseases, 7 prepatellar fat pad and 3 femoral intercondylar fossa straitness. [Conclusion] The results show that we can analyse and diagnose the articular factor of the anterior knee pain under arthroscopy and it is advantageous in terms of less injury, high success rate and limited treatment. It is recommended that arthroscopy is a good method to diagnose anterior knee pain.