摘要
目的探讨改进关节镜下治疗难治性髌前滑囊炎的疗效。方法自2009年6月~2014年5月对我院30例复发髌前滑囊炎患者,男22例,女8例。囊肿最大为8cm×12cm,最小为4cm×5cm,全部病例均在关节镜下手术治疗,平均手术时间为30分钟,术后固定2周。膝关节疼痛评价按采用视觉模拟评分法(visual analogue scale,VAS)评分、膝关节关节活动度(ROM)对术前、术后3、6、12、24、36个月随访时功能进行评价。结果术后随访,全部患者均无感染,无肿胀,关节活动正常,全部病例术后膝关节疼痛显著缓解,活动显著改善。仅有1例患者残留有膝前疼痛,1例患者局部皮肤有麻木感。结论关节镜下保守治疗髌前滑囊炎,美容效果和功能效果满意,适合临床开展。
Objective To investigate the efficacy of the arthroscopic intracapsular resection treatment of refractory prepatellar bursitis. Methods From June 2009 to May 2014 in our hospital, 30 cases of recurrent prepatellar bursitis patients(male 22 cases, female 8 cases). A maximum Cyst was 8cm×12cm, minimum was 4cm×5cm. All cases were operated in arthroscopic treatment and the average operation time was 30 minutes. Postoperative knee extension was fixed for 2weeks. Knee joint pains were valuated with a visual analog scale(visual analogue scale, VAS) score and preoperative,postoperative 3,6,12,24,36 months follow-up functions were evaluated with joint activity(ROM). Results Postoperative follow-up, all patients have no infection, recurrence. One patient had residual anterior knee pain. One patient with local skin numbness. No other swelling and joint activities were normal and all patients had no recurrence and infection. All patients were shown to have anterior knee skin depressions in different degrees, no local residual scar, no joint swelling,and joint activities were normal. Postoperative knee pains of all cases were relieved and activities were significantly improved. Conclusion Arthroscopic improvement treatment of prepatellar bursitis have better curative effect, prevent the complication of skin and is more suitable for clinical development.
出处
《生物骨科材料与临床研究》
CAS
2015年第3期58-59,62,后插2,共4页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
髌前滑囊炎
改进关节镜
囊内切除
Prepatellar bursitis
Improvement of arthroscopy
Intracapsular resection
