膝关节髌内侧滑膜皱襞综合征的关节镜下的诊治

Diagnosis and Treatment of Medial Patellar Plica Syndrome by Arthroscopy

目的探讨关节镜对膝关节髌内侧滑膜皱襞综合征的诊断价值和治疗效果。方法选取30例(35膝)髌内侧滑膜皱襞综合征患者行膝关节镜检查及髌内侧滑膜皱襞切除术;采用Lysholm评分标准评价术前及术后膝关节功能的变化。结果该组平均随访时间18个月(4个月～5年3个月);术前平均Lysholm评分(51.37±6.36)分,术后平均Lysholm评分(93.00±5.04)分,平均改善42分,术前与术后功能评分比较,差异有统计学意义(t=15.283,P<0.05)。结论关节镜技术是目前诊治膝关节髌内侧滑膜皱襞综合征的最佳方法。

Objective To investigate the efficiency of knee arthroscopy for medial patellar plica syndrome. Methods A total of 30 patients（35 knees） with medial patellar plica syndrome by arthrocopy were retrospectively analyzed from July 2006 to January 2012. Arthroscopic excision of the synovial plica was performed. Lysholm scoring system was used to assess function changes of the knee before and after surgery. Results The mean follow-up time was 18 months （4 months to 5 years and 3 months）. The lysholm score changed from （51.37±6.36）,（pre-operation） to （93.00±5.04） （post-operation）. The median Lysholm score was improved by 42 points after operation （t=15.283,P〈0.05）. Conclusion The arthroscopy is the best diagnostic method of medial patellar plica syndrome today.