膝关节镜治疗半月板损伤10年回顾

Arthroscopic Treatment of Meniscal Lesions-10 Years Review

目的:探讨膝关节半月板损伤的临床特点及关节镜诊疗技术。方法:回顾1991年6月～2001年6月应用关节镜治疗、50岁以下患者半月板损伤378例,统计患者性别、年龄、职业、损伤侧别、损伤类型、治疗方法。术前及术后1年用Lysholm-Ⅱ评分评定膝关节功能。结果:261例半月板损伤获得随访,半月板部分切除组103例,优良率79.67％,半月板全切组62例,优良率76.39％,半月板缝合组56例,优良率84.85％。结论:膝关节半月板损伤多发生在青年男性,外侧半月板病损率远远高于内侧半月板,关节镜下半月板损伤的治疗应针对不同损伤类型采取不同治疗方法,尽可能保留半月板。

Objective: To evaluate the clinical peculiarity and the arthroscopic diagnosis and treatment of meniscal lesions. Methods:Three hundred and seventy-eight cases of meniscus lesions treated by arthroscopy from Jun. 1991 to Jun. 2001 were reviewed.The age of every patient was below 50 in order to exclude the influence of degeneration. The sex,age,job,injured side, type of lesion, treatment method of all patients were analyzed. Lysholm- Ⅱ rating system was used to determine the function of the knee and the patient's level of activity. Results:Two hundred and sixty-one patients were followed up. The excellent and good results was 79.67% in the partical meniscectomy group,76.39% in the total meniscectomy group,and 84.85% in the suture group. Conclusion:meniscal lesions is most frequently in 15-30 years old male patients, and the lateral meniscal lesion occurs more common than the medial. Arthroscopic treatment of a meniscus tear has to be based on a careful analysis of lesion type. Preservation of the meniscus is preferred if possible when considering treatment of a meniscus tear.