军事训练致膝关节损伤的关节镜下诊断和治疗

Arthroscopy in diagnosis and therapy of knee joint injuries due to military training

目的探讨关节镜对军事训练所致膝关节损伤的诊断及其治疗效果。方法回顾性分析我院2002年1月—2009年10月收治的171例军事训练所致膝关节损伤官兵临床资料,总结军事训练所致膝关节损伤的特点。所有病例均行膝关节MRI检查,并在关节镜下行手术治疗或关节探查清理。对比MRI检查结果的准确率。术前、术后均对所有病例行膝关节Lysholm评分及主观评价。结果本组病例随访时间10～22月,Lysholm评分术前(42.1±3.7)分,术后为(84.3±2.3)分。无因手术而症状加重及发生血管神经损伤及感染等并发症。结论关节镜既有诊断价值又是治疗手段,关节镜检查可全面评估膝关节的损伤程度,微创治疗膝关节军事训练疾患,相比其他治疗手段具有明显的优越性。

Objective To investigate the arthroscopy in early diagnosis of knee joint injuries due to military training and its and treatment effect.Methods The clinical data of the 171 patients of knee joint injuries from military training which performed with early arthroscopic examination and therapy in our hospital from January 2002 to October 2009 were retrospectively analyzed.The characteristics of knee joint injuries due to military training were summarized.All patients underwent knee MRI examination,and arthroscopic surgery or clearing.Compare the accuracy of MRI findings.Lysholm scores evaluation and the patients＇ subjective evaluation of pre-operation and post-operation were performed.Results All patients were followed up for 10 to 22 months.The preoperative Lysholm scores were（42.1±3.7） points and postoperative were（84.3±2.3） points.No surgery-related vascular and nerve injury and infection and other complications were observed.Conclusion MRI has high diagnostic value of knee joint injuries in military training and that also is a treat method.Arthroscopic examination in knee joint injuries from military training can evaluate the extent of knee joint injury completely and minimally invasive treat the knee joint injury.It has the obvious superiority compared with the other treatment.