摘要
[目的]统计膝关节镜检查患者的软骨损伤情况,分析关节软骨损伤的发病率以及分布情况,为临床治疗方案的选择提供依据。[方法]回顾性分析解放军总医院骨科2004年11月-2005年9月间568例膝关节镜检查患者的病例资料,对软骨损伤发生的部位、损伤程度及不同性别、年龄段患者的分布情况进行总结。[结果]389例患者总计存在923处软骨损伤,发病率高达68%,其中以股骨内髁和髌骨关节面损伤最为常见,分别为233、230处,占软骨损伤总数的26%、25%。40岁以上和40岁以下患者的软骨损伤发病率存在明显差异,分别为88%、36.5%(P<0.01)。软骨损伤患者中有56.5%年龄处于40～60岁之间,是关节镜检查软骨损伤的主要人群,其中男44例,女168例,此年龄段女性明显多于男性。[结论]膝关节软骨损伤是一种十分普遍的现象,需要引起骨科医师的高度重视,对存在临床症状的患者早期进行关节镜检查并治疗可延缓病情进展,使病人获益。
[ Objective ] The purpose of this study is to investigate articular cartilage injuries in patients undergoing arthroscopy of knee joint. [ Method] From November 2004 to September 2005,568 patients underwent arthroscopy in the orthopedic department of Chinese PLA General Hospital. [ Result] Totally 923 cases of articular cartilage injuries in 389 patients were documented,with the incidence rate of 68%. The main articular cartilage injuries were found on the medial femoral condyle （26%） and patella （25%）. The incidence rate had signicant difference between patients over and under 40 years （88% VS 36.5% ）. Patients between 40 and 60 years were most susceptable to articular cartilage injuries. [ Conclusion ] Articular cartilage injuries are common in patients after arthroscopy. Early arthroscopy and treatment may benefit the patients.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2009年第8期561-563,共3页
Orthopedic Journal of China
关键词
膝关节
软骨损伤
关节镜
knee joint
articular cartilage injury
arthroscopy
