膝关节镜下盘状半月板损伤的治疗

Arthroscopic surgery for the treatment of discoid meniscus injury

目的探讨膝关节镜下盘状半月板损伤手术治疗的方法和疗效。方法 2005年7月～2008年6月,39例盘状半月板损伤患者行关节镜下手术,31例行关节镜下盘状半月板部分切除成形术,8例行盘状半月板全切除术。术后早期进行关节功能锻炼。结果无手术并发症。术后获得随访36例,随访时间3～28个月,平均11.5个月。按Ikeuch评定标准:优23例,良10例,可3例。结论膝关节镜下盘状半月板成形术治疗盘状半月板损伤具有手术创伤小、康复快、并发症少的优点。目前关节镜下成形术是治疗盘状半月板损伤的最好方法。

【Objective】To explore the therapeutic method and clinical efficacy of discoid meniscus injury under arthroscope.【Methods】From July 2005 to June 2008,a series of 39 patients with discoid meniscus injury have been treated by arthroscopic surgery.Discoid meniscus plasty was performed on 31 patients,and meniscectomy on 8 patients.After operation the rehabilitation training was done early.【Results】The operation was no complication.36 cases were followed-up for average 11.5 months（from 3 to 28 months）.Based on Ikeuch knee functional scales,23 cases were excellent,10 good and 3 fair.【Conclusions】Discoid meniscus plasty under arthroscope has less trauma,recovery quickly and less complication,it should be a preferred method for discoid meniscus injury.