关节镜下手术治疗盘状半月板的疗效及其影响因素分析

The Outcome of Arthroscopic Treating Torn Discoid Lateral Meniscus

目的：回顾性研究关节镜下手术治疗盘状半月板的长期结果;从性别、症状持续时间、手术时年龄、盘状半月板类型、半月板损伤类型等多个方面分析影响手术结果的因素。方法：回顾性分析2008~2013年期间于我院手术治疗的97例106膝盘状半月板。平均随访时间27.3±18.8个月。主要手术方式包括半月板修整成形术、修整成形＋固定术和半月板全切术。记录随访末期Lysholm评分、IKDC评分、Tegner运动评分及VAS疼痛评分;手术结果按照Ikeuchi分级标准进行分级。结果：所有病例随访期手术结果 Ikeuchi分级为：优64膝（60.4%）,良27膝（25.5%）,可10膝（9.4%）,差5膝（4.7%）;总体优良率达85.9%。手术时的年龄及术前症状持续时间对手术结果有影响,而患者性别、盘状半月板类型、半月板损伤类型、手术方式均无明显影响。结论：关节镜下手术治疗盘状半月板,年轻患者及早期手术治疗患者的疗效较好,建议对盘状半月板损伤应尽早行关节镜下手术治疗。

Objective The purpose of this study is to evaluate the clinical outcome of the arthroscopic treatment of torn discoid lateral meniscus. Methods 106 torn discoid lateral meniscus of 97 patients,including41 males and 56 females with mean age of 30.5 ±16.2 years were retrospectively reviewed. The average follow-up duration was 27.3±18.8 months（8~61 months）. Lysholm score, IKDC score, Tenger score and VAS of pain were recorded and analyzed. Results There were 64 cases classified as excellent（60.4%）,27 good（25.5%）,10 fair（9.4%）,and 5 poor（4.7%）. The age of patient at operation and the duration of symptoms correlated closely with the IKDC score and Tenger score（P 〈 0.05）. Conclusion Early arthroscopic treatment of symptomatic torn discoid lateral meniscus yielded satisfactory clinical outcome.