摘要
[目的]介绍半月板囊肿的关节镜下手术方法与其疗效。[方法]1997～2005年本院共完成20例膝关节半月板囊肿的关节镜手术，12例行囊肿切除，8例行囊肿切除同时采用outside-in方法垂直缝合关闭残腔。随访时间6～42个月，平均（18．7±12．2）个月。手术前、后采用Lysholm评分和手术后疗效评定的Glasgow评定法对膝关节镜手术治疗半月板囊肿的结果进行分析。[结果]20例患者中4例失访。1例单纯囊肿切除患者术后1a囊肿复发。手术前Lysholm评分为（71．2±8．7）分，手术后提高至（97．1±2．9）分（t=32．948，P〈0．001）。Glasgow疗效评定法，16例完成随访患者中，优15例（93．75％），一般1例（6．3％）。[结论]关节镜技术治疗半月板囊肿创伤小、疗效佳，在保留半月板功能及减少患膝骨关节炎发生率上有显著优点。
[ Objective] To introduce the treatment and result of meniscal cyst by arthroscopic surgery. [ Method] During the period between 1997 and 2005, 20 patients suffered from meniscal cysts have been treated by arthroscopic surgery in Xijing Hospital. Meniscal cysts were excised in all cases with shaver under arthroscopic visualization, whereas outside-in suture repair of meniscus was undergone in 8 cases to close the lacuna and repair the meniscal peripheral free which were resulted from remoral of cyst. The patients were followed up from 3 to 42 months with an average of （ 18. 7 ± 12. 2） months. The patients were assessed pre- and post-operatively by the Lysholm score and Glasgow Assessment. [ Result ] Sixteen of total 20 patients were followed up. Meniscal cyst recurred in a patient one year after operation. Lysholm score of the 16 patients showed a significant improvement from （71.2 ±8.7） pre-operation to （97. 1±2. 9） post-operation （t =32. 948, P〈0. 001 ）. According to Glasgow Assessment, fifteen patients （93.75%） of 16 patients were excellent and only one patient （6. 3% ） was fair in follow-up. [ Conclusion ] As the treatment of meniscal cyst, arthroscopic surgery shows the advantages to maintain good function of knee and reduce the premature osteoarthritis occurrence.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第15期1137-1139,共3页
Orthopedic Journal of China
