摘要
目的探讨关节镜下诊断、治疗膝关节内良性肿瘤的方法和疗效。方法采用关节镜检查和治疗膝关节内良性肿瘤56例,其中滑膜血管瘤18例,软组织内软骨瘤12例,腱鞘巨细胞瘤7例,十字韧带内硬纤维瘤5例,关节囊腱鞘巨细胞瘤患者4例,十字韧带内韧带瘤10例。结果在56例行关节镜下微创手术膝关节内良性肿瘤患者中,有26例感觉满意,占总例数的46.43%,18例感觉比较满意,占总例数的32.14%,8例感觉一般,只有4例感觉不满意。随访半年之后,发现所有患者的关节疼痛消失,膝前有包块者包快消失,关节交锁也消失,关节屈伸功能出现障碍的患者功能恢复正常,股四头肌萎缩者肌肉开始恢复正常。结论行关节镜下微创技术具有保护周围正常组织、视野清晰、操作方便等优点,且近几年来技术发展成熟,无不良指征,值得临床推广使用。
Objective To evaluate the role of arthroscopy in the diagnosis and treatment of knee joint the method and curative ef-fect of benign tumors. Methods Use and treatment of knee arthroscopy in 56 cases with benign tumor, 18 cases of synovial he-mangioma, soft tissue chondroma 12 cases, 7 cases of tendon sheath giant cell tumors, cruciate ligament desmoid tumor in 5 cases, 4 patients with giant cell tumors in articular synovial sheath, cruciate ligament ligament tumor in 10 cases. Results In the mini-mally invasive surgery under 56 underwent arthroscopic knee joint in patients with benign tumors, 26 people feel satisfied, ac-counting for 46.43%of the total, 18 people feel satisfied, accounted for 32.14%of the total, 8 people feel generally, only four peo-ple feel dissatisfied. After six months of follow-up, discovered that all patients with preoperative refractory knee pain disappeared, activity recovery good joint flexion and extension, no tumor recurrence. Conclusion Arthroscopic technique has the advantages of the surrounding normal tissue protection, clear vision, convenient operation, and in recent years the development of technology is mature, no adverse indications, is worthy of clinical use.
出处
《中外医疗》
2015年第13期12-14,共3页
China & Foreign Medical Treatment
关键词
膝关节
良性肿瘤
关节镜
The knee joint
Benign tumor
Arthroscopy
