关节镜下半月板部分切除的临床观察

Clinical observation of arthroscopic partial meniscectomy

目的评估关节镜下半月板部分切除的临床效果。方法采用美国生产的Stryker关节镜系统，通过对患者术前和术后的临床症状分析并按照Teger膝关节评分标准对关节镜下半月板部分切除手术的具体效果进行评估。结果37例半月板损伤患者，均获得随访，时间5～26个月，平均23个月，术后膝关节评分优12例，占32．4％，良19例，占51．4％，可6例，占16．2％，总优良率为83．8％。且未出现血管神经损伤和术后感染发生。结论半月板损伤患者在关节镜下进行半月板部分切除手术，手术成功率高，能明显提高临床疗效。

Objective To observe and evaluate the clinical results of arthroscopic partial meniscectomy. Methods U. S. production of Stryker arthroscopic partial resection of the meniscus, 37 cases of patients with meniscus injury by preoperative and postoperative clinical symptoms and in accordance with the of Teger knee score standard arthroscopic second half board resection surgery to assess the effect. Results Totally 37 patients with meniscus injury patients were followed up for 5 months -26 months, an average of 23 months, after knee rated excellent in 12 cases, accounting for 32.4%, good in 19 cases （51.4%）, 6 cases, accounting for 16. 2% excellent and good rate was 83.8%. And no evidence of neurovascular injury and postoperative infection. Conclusion Patients with meniscal injury in arthroscopic meniscal resection surgery, surgical success rate, can significantly improve the clinical efficacy.