关节镜治疗半月板损伤的短期疗效研究

A short-term follow-up result of arthroscopic meniscectomy

目的探讨关节镜治疗半月板损伤的短期临床疗效。方法对87例经关节镜确诊为半月板损伤的患者行关节镜手术治疗。术后采用Lysholm膝关节功能评分表对患者进行随访评价手术疗效。结果术后87例患者均获得随访。随访时间为3-18个月,其疗效为:优53例(60.9%),良28例(32.2%),可5例(5.7%),差1例(1.2%)。优良率为93.1%。结论关节镜下半月板部分切除术创伤小、术后恢复快,可早期进行功能锻炼,且能最大限度地保留半月板的组织,为半月板损伤的极佳治疗方法。

Objective To evaluate the short-term effect of arthroscopic meniscectomy. Methods Eighty-seven patients with meniscus injury diagnosed by arthroscopy were treated with arthroscopic meniscectomy. The surgical effect was evaluated with Lysholm knee function scales. Results Eighty-seven patients were followed up for 3 - 18 months. The surgical effect was excellent in 53 cases（60.9 % ）, good in 28 cases（32.2 % ）, fair in 5 cases（5.7 % ）, and poor in 1 case（ 1.2 % ）. The excellent and good rate was 93.1%. Conclusion Arthroscopie menisectomy has the advantages of minimal invasion, quick recovery, early function exercise, and reserving the tissue of meniscus to the utmost extent. It is a better method to treat menical injuries.