盘状半月板的临床诊断特点和关节镜治疗-第三军医大学学报.DOC

关节镜手术治疗症状性膝关节外侧盘状半月板 何爱珊，傅明，杨子波，廖威明* 广州中山大学附属第一医院关节外科，广东广州510080 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分，平均（65.7+8.0）分，提高到随访时87~100分，平均(95.6+3.3)分（t＝22.32，P0.01）。20岁以下组膝关节功能评分明显高于20岁以上组（P0.01）。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。 关键词：盘状半月板；关节镜术；膝关节 Arthroscopic treatment of symptomatic discoid lateral meniscus . HE Aishan, Fu Ming, YANG Zhibo, LIAO Weiming*. Department of Orthopaedics, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China ABSTRACT Objective The purpose of this study was to observe the effect of arthroscopic meniscectomy for the treatment of symptomatic discoid lateral meniscus and the important 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 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; P0.01). The mean Lysholm score in patients younger than 20(mean 97.2, range 94-100) was significantly higher than patients older than 20(mean 93.7, range 87-100; P0.01)). Conclusions Arthroscopic meniscectomy is a successful treatment of symptomatic discoid lateral meniscus. The early treatment can achieve better outcomes for patients with symptomatic discoid lateral meniscus. Key words: discoid meniscus; arthroscopy; knee joint （1）* 通信作者；廖威明，联系电话：（0208898。E-mail：wmliao@163.net （2）作者简介：何爱珊，女，1967年出生，籍贯：广东开平，汉族，博士，副主任医师，已发表论文15篇，研究方向：骨关节外科临床和基础研究。 膝关节盘状半月板形似盘状，是一种异常的半月板，其病因仍未明确。多发生在膝关节外侧，是儿童较常见的膝关节疾病。其临床首发症状多变，容易漏