[1]何爱珊,傅明,杨子波,等.关节镜手术治疗29例症状性膝关节外侧盘状半月板[J].陆军军医大学学报(原第三军医大学学报),2008,30(15):1427-1429.
　HE Ai-shan,FU Ming,YANG Zi-bo,et al.Arthroscopic treatment of symptomatic discoid lateral meniscus[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(15):1427-1429.
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陆军军医大学学报（原第三军医大学学报）[ISSN:1000-5404/CN:51-1095/R]

卷:
30卷
期数:
2008年第15期
页码:
1427-1429
栏目:
论著
出版日期:
2008-08-15

文章信息/Info

Title:
Arthroscopic treatment of symptomatic discoid lateral meniscus
作者:
何爱珊; 傅明; 杨子波; 廖威明
中山大学附属第一医院关节外科
Author(s):
HE Ai-shan;  FU Ming;  YANG Zi-bo;  LIAO Wei-ming
Department of Orthopaedics, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
关键词:
盘状半月板; 关节镜术; 膝关节
Keywords:
discoid meniscus;  arthroscopy;  knee joint
分类号:
R684；R687.4
文献标志码:
A
摘要:
目的  探讨膝关节外侧盘状半月板的关节镜手术治疗效果和早期治疗的必要性。 方法  对29例31膝外侧盘状半月板患者的临床表现特点进行总结并进行关节镜下治疗。其中27膝行盘状半月板部分切除成形，4例因边缘撕裂行半月板次全切除。 结果  所有病例术后随访症状均明显改善或消失，无术后并发症。本组Lysholm膝关节功能评分从术前36~78（65.7±8.0）分，提高到随访时87~100 (95.6±3.3)分（t＝22.32，P<0.01）。20岁以下组膝关节功能评分明显高于20岁以上组（P<0.01）。 结论  关节镜手术治疗膝关节外侧盘状半月板效果良好，并发症少。有症状的膝关节外侧盘状半月板应争取年轻时早期治疗，效果更好。
Abstract:
Objective    To observe the effect of arthroscopic meniscectomy for symptomatic discoid lateral meniscus and the importance of early treatment.     Methods    Arthroscopic meniscectomy was performed on 29 patients (31 knees) with symptomatic discoid lateral meniscus. Partial meniscectomy was performed on 27 knees, subtotal meniscectomy on 4 knees with tear on the edge of meniscus.     Results    The operations on all 31 knees were successful without complications. The mean Lysholm score was 95.6 (87-100) during the follow-up, which was significantly higher than that before the operation (65.7, range 36-78; P<0.01). The mean Lysholm score in the patients under 20 years old (mean 97.2, range 94-100) was significantly higher than the patients over 20 years (mean 93.7, range 87-100; P<0.01).     Conclusion    Arthroscopic meniscectomy is effective in managing symptomatic discoid lateral meniscus. The early treatment can achieve better outcomes for the patients with symptomatic discoid lateral meniscus.

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　ZHU Yun-li,WU Yu-li,WU Hai-shan.Midterm follow-up of symptomatic discoid meniscus after arthroscopic surgery[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(15):1411.
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[5]何锡煌,区伯平.106例膝关节镜检查小结[J].陆军军医大学学报(原第三军医大学学报),1990,12(05):0.[doi:10.16016/j.1000-5404.1990.05.024 ]
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[7]陈尔瑜.胎儿膝关节半月板[J].陆军军医大学学报(原第三军医大学学报),1979,01(01):0.[doi:10.16016/j.1000-5404.1979.01.001 ]

更新日期/Last Update: 2008-07-24