关节镜治疗青少年膝关节盘状半月板损伤的临床疗效(1)
摘要：目的 探讨膝关节镜治疗青少年膝关节盘状半月板损伤的临床疗效。方法 选择2012年9月～2015年9月应用膝关节镜治疗的21例青少年盘状半月板损伤的患者，分析关节镜术后患者的症状及体征。采用Ikeuchi膝关节评分标准评定临床疗效并采用GraphPad Prism统计学软件进行统计学分析。结果 21例患者均获得随访，随访时间5～17个月，平均9个月，评定其中优15例，良3例，可2例，差0例，膝关节优良率为85.71%;术前和术后出院前1天及术前和末次随访时膝关节功能评分分别为(57.45±1.87)分、(93.0±0.95)分、(93.45±0.85)分，差异具有统计学意义(P<0.05)，而术后出院前1天和末次随访时比较，差异无统计学意义(P>0.05)。结论 膝关节镜治疗青少年膝关节盘状半月板损伤的临床疗效优良，可以借鉴应用。
关键词：膝关节镜;盘状半月板损伤;青少年
中图分类号：R687 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.11.028
, 百拇医药
文章编号：1006-1959(2019)11-0103-03
Abstract：Objective To investigate the clinical efficacy of knee arthroscopy in the treatment of discoid meniscus injury in adolescents. Methods 21 patients with discoid meniscus injury who underwent knee arthroscopy from September 2012 to September 2015 were enrolled. The symptoms and signs of arthroscopic surgery were analyzed. Clinical efficacy was assessed using the Ikeuchi knee scoring criteria and statistical analysis was performed using GraphPad Prism statistical software. Results All the 21 patients were followed up for 5 to 17 months， with an average of 9 months. The evaluation was excellent in 15 cases， good in 3 cases， fair in 2 cases， poor in 0 cases， and excellent knee joint rate was 85.71%.The knee joint function scores were as follows： one day before and one day before discharge， and at the time of preoperative and last follow-up， respectively(57.45±1.87) points， (93.0±0.95)， (93.45±0.85) points， the difference was statistically significant (P<0.05)， and there was no significant difference between the day before discharge and the last follow-up(P>0.05). Conclusion Knee arthroscopy is effective in the treatment of discoid meniscus injury in adolescent knees and can be used for reference.
, 百拇医药
Key words：Knee arthroscopy;Discoid meniscus injury;Adolescent
盘状半月板损伤(discoid meniscus injury)是青少年常见的膝关节疾病之一。由于盘状半月板的形态异常，在膝关节运动中易造成损伤，常引起膝关节疼痛、弹响、活动障碍和关节軟骨的退变，严重影响患者的运动功能和生活质量。随着关节镜技术的发展，关节镜技术的应用为盘状半月板损伤的治疗提供了较好的治疗手段。本研究回顾性分析2012年9月～2015年9月我科收治的21例青少年膝关节盘状半月板损伤患者的临床资料，探讨应用关节镜治疗盘状半月板损伤的临床疗效。
1资料和方法
1.1一般资料 选取南华大学附属南华医院2012年9月～2015年9月收治的21例膝关节盘状半月板损伤的患者，其中男15例，女6例，年龄10～20岁，平均17岁;病程平均12个月;左膝12例，右膝9例，均为外侧盘状半月板;按Watanabe分型：完全型：13例，不完全型8例，未发现Wrisberg韧带型，有明确外伤史14例，无明确外伤史7例;临床表现：患者均有疼痛，弹响21例，交锁12例，股四头肌萎缩11例，伸屈活动受限11例，打软腿11例，麦氏征阳性9例，术前应用MRI明确诊断为盘状半月板损伤19例。, http://www.100md.com(陆细红 贺洪辉 向亮)
关键词：膝关节镜;盘状半月板损伤;青少年
中图分类号：R687 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.11.028
, 百拇医药
文章编号：1006-1959(2019)11-0103-03
Abstract：Objective To investigate the clinical efficacy of knee arthroscopy in the treatment of discoid meniscus injury in adolescents. Methods 21 patients with discoid meniscus injury who underwent knee arthroscopy from September 2012 to September 2015 were enrolled. The symptoms and signs of arthroscopic surgery were analyzed. Clinical efficacy was assessed using the Ikeuchi knee scoring criteria and statistical analysis was performed using GraphPad Prism statistical software. Results All the 21 patients were followed up for 5 to 17 months， with an average of 9 months. The evaluation was excellent in 15 cases， good in 3 cases， fair in 2 cases， poor in 0 cases， and excellent knee joint rate was 85.71%.The knee joint function scores were as follows： one day before and one day before discharge， and at the time of preoperative and last follow-up， respectively(57.45±1.87) points， (93.0±0.95)， (93.45±0.85) points， the difference was statistically significant (P<0.05)， and there was no significant difference between the day before discharge and the last follow-up(P>0.05). Conclusion Knee arthroscopy is effective in the treatment of discoid meniscus injury in adolescent knees and can be used for reference.
, 百拇医药
Key words：Knee arthroscopy;Discoid meniscus injury;Adolescent
盘状半月板损伤(discoid meniscus injury)是青少年常见的膝关节疾病之一。由于盘状半月板的形态异常，在膝关节运动中易造成损伤，常引起膝关节疼痛、弹响、活动障碍和关节軟骨的退变，严重影响患者的运动功能和生活质量。随着关节镜技术的发展，关节镜技术的应用为盘状半月板损伤的治疗提供了较好的治疗手段。本研究回顾性分析2012年9月～2015年9月我科收治的21例青少年膝关节盘状半月板损伤患者的临床资料，探讨应用关节镜治疗盘状半月板损伤的临床疗效。
1资料和方法
1.1一般资料 选取南华大学附属南华医院2012年9月～2015年9月收治的21例膝关节盘状半月板损伤的患者，其中男15例，女6例，年龄10～20岁，平均17岁;病程平均12个月;左膝12例，右膝9例，均为外侧盘状半月板;按Watanabe分型：完全型：13例，不完全型8例，未发现Wrisberg韧带型，有明确外伤史14例，无明确外伤史7例;临床表现：患者均有疼痛，弹响21例，交锁12例，股四头肌萎缩11例，伸屈活动受限11例，打软腿11例，麦氏征阳性9例，术前应用MRI明确诊断为盘状半月板损伤19例。, http://www.100md.com(陆细红 贺洪辉 向亮)