22例髌下脂肪垫肥大症治疗方法探讨

Studies on Treatment to Infrapatellar Fat Pad Syndrome in 22 Patients

目的探讨髌下脂肪垫损伤后,发生的病理过程并讨论针对脂肪垫增生、肥大等临床症状有效治疗手段。方法1996年至2007年首都医科大学附属复兴医院骨外科共治疗髌下脂肪垫肥大症患者22例,其中12例采取手术方法全部切除脂肪垫,另外10例采用保守治疗。结果经术后2～8年随访,12例接受手术治疗的患者脂肪垫肥大的症状、体征完全消失。而未接受手术治疗的患者症状、体征日渐加重,靠消炎止痛药物维持。结论髌下脂肪垫一旦形成增生、肥大的病理改变后,任何药物治疗都难以治愈,手术切除全部脂肪垫是为上策。

Objective To provide an effective the treatment method for hyperplasia and hypertrophy with clinical symptoms induced by injury of infrapatellar fat pad. Methods A total of 22 patients with infrapatellar fat pad syndrome were received in our hospital between the years 1996 and 2007, 12 of them underwent surgery, 10 of them underwent outpatient treatment. Results All patients received follow up 2 - 8 years after surgery. It disappeared that the symptoms and signs caused by hypertrophy of fat pad disappeared in the postoperative patients, while they aggravated in un-operative patients. Conclusion Once the hypertrophy and hyperplasia of the infrapatellar fat pad occurs, surgery is the best way to resect the whole fat pad, and it is hard to cure by the use of drugs.