摘要
探讨局麻下关节镜对诊断和治疗前踝撞击征和退行性骨关节病的价值。1998年 9月～2 0 0 1年 9月 ,对 2 9例 (36踝 )踝关节病例局麻下行关节镜手术治疗 ,其中踝前撞击综合征 7例 ,老年性骨关节炎 8例 (13侧 ) ,创伤性关节炎伴滑膜炎 9例 ,大骨节病 2例 (4侧) ,痛风性关节炎 2例 ,胫骨远端骨内表皮样囊肿 1例。采用关节镜手术磨削踝前增生的骨赘、游离体取出、刨削增生肥厚的纤维瘢痕和滑膜组织 ,清除退变剥脱的软骨碎屑和致痛物质。术后随访 5～ 2 8个月 ,平均 11个月 ,踝关节疼痛、肿胀、生活质量和运动功能均明显改善。根据疗效标准 ,优 33 3% (12踝 ) ,良 5 2 8% (19踝 ) ,可 13 9% (5踝 ) ,优良率 86 1%。说明局麻踝关节镜手术具有创伤小、痛苦轻、操作简便。
To study the value and effect of arthroscopy under local anesthesia in the diagnosis and treatment of anterior ankle impingement and traumatic or degenerative ankle joint diseases. From September 1998 to September 2001 we performed arthroscopy in 36 ankles on 29 patients, in whom 17 suffered from traumatic and degenerative joint disease, 7 with anterior ankle impingement, 2 with osteoarthrosis deformans endemica of 4 ankles, 2 with gouty arthritis, and 1 with epidermoid cyst of the tibial end. Arthroscopic treatment included removal of loose bodies, osteophytes and/or scar tissue, osteochondral fragment, and cartilaginous debris. At an average of 11 month (5～28 month) follow up, the group without joint space narrowing showed significantly better relief in pain, swelling, and better function of the joint and ability to work. The result was excellent in 33.3% (12 ankles), good in 52.8% (19 ankles), and fair in 13.9% (5 ankles). Arthroscopy under local anesthesia in the treatment of anterior ankle impingement and traumatic or degenerative joint disease not only was less invasive than open techniques and less painful after surgery, but was also an effective, simple, and safe method.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2003年第4期361-362,共2页
Medical Journal of Chinese People's Liberation Army
