摘要
半月板根部损伤(MRT)会使半月板失去传导载荷的功能,加速膝关节软骨的退化。目前对于高龄、手术耐受力差、伴有严重膝关节退变及慢性退行性损伤的MRT患者临床上多采用保守治疗,而对于急性创伤性损伤、陈旧或退变的MRT患者往往需要手术修复。胫骨高位截骨虽可缓解MRT的临床症状,但远期临床疗效有待进一步考证。关节镜下MRT手术修复技术是治疗MRT的主流方式,可有效恢复半月板根部解剖结构和功能,进而延缓膝关节退变的发生。MRT一经确诊,如符合手术适应证,应根据患者具体情况尽快制定相应的治疗方案,术后经适当、有效的康复锻炼,短期内可明显改善患者膝关节功能,并明显延缓骨性关节炎的进程,远期疗效有待进一步随访观察。
Meniscal root tear（MRT） can cause damages on the conduction and load function of meniscus and accelerate knee articular cartilage degeneration. Conservative treatments are mostly used in MRT patients with advanced age, poor operative tolerance, knee joint severe degeneration or chronic degenerative injury; surgical repair is required for acute traumatic injury, obstructed or degenerative MRT. High tibial osteotomy may be effective in alleviating the clinical symptoms of MRT although the long curative effect is still under investigation. Arthroscopic MRT repair is a major way that can effectively restore the anatomical structure and function of meniscal root and delay the onset of knee joint degeneration. With early surgical repair and appropriate postoperative rehabilitation exercise, patients with MRT can have significant knee joint function improvement in a short time; the long-term effect needs further observation.
作者
张鹏飞
徐永胜
包呼日查
齐岩松
王永祥
魏宝刚
马秉贤
Zhang Peegfei, Xu Yongsheng, Baohuricha, Qi Yansong,Wang Yongxiang, Wei Baogang, Ma Bingxian(Graduate School, Inner Mongolia Medical University, Hohhot 010010, China ; Department of Orthopedics and Arthrology, Inner Mongolia People＇s Hospital, Hohhot 010010, Chin)
出处
《中国医药》
2018年第5期793-796,共4页
China Medicine
基金
国家自然科学基金(81560374)
内蒙古自治区科技计划(20140149)
内蒙古自治区自然科学基金(2014BS0811
2014MS08131)~~
