CAJ | 학술논문

目的：探讨患者膝关节外侧盘状半月板损伤的临床治疗及疗效。方法：选取2010年1月-2012年1月在本院骨科收治的80例外侧盘状半月板损伤患者，共96膝。所有患者均进行关节镜下盘状半月板形成缝合术、次全切除术、盘状半月板全切除术，术后进行积极的早期恢复训练和关节活动。结果：术后患者3~4周可正常活动，80例患者均成功随访，随访时间12~18个月，平均（15.2±0.8）个月。结论：关节镜下治疗外侧盘状半月板临床效果较好，损伤低，精确度高，可对破裂的半月板组织进行最大限度的保留和修复，术后可进行早期复健近期疗效较好。
목적：탐토환자슬관절외측반상반월판손상적림상치료급료효。방법：선취2010년1월-2012년1월재본원골과수치적80예외측반상반월판손상환자，공96슬。소유환자균진행관절경하반상반월판형성봉합술、차전절제술、반상반월판전절제술，술후진행적겁적조기회복훈련화관절활동。결과：술후환자3~4주가정상활동，80례환자균성공수방，수방시간12~18개월，평균（15.2±0.8）개월。결론：관절경하치료외측반상반월판림상효과교호，손상저，정학도고，가대파렬적반월판조직진행최대한도적보류화수복，술후가진행조기복건근기료효교호。
Objective:To evaluate the surgical technique and effectiveness of arthroscopic treatment for lateral discoid meniscus injury.Method:Eighty patients with lateral discoid meniscus injuries underwent arthroscopic treatment were selected in our hospital from January 2010 to January 2012, a total of 96 knee.All patients underwent arthroscopic discoid meniscus formed suture,subtotal resection,discoid meniscus resection,postoperative early recovery training and joint activities actively.Result:All incisions healed primarily. Normal activities in patients with 3-4 weeks after operation,80 patients were successfully followed up,the follow-up time ranged from 12 to 18 months,average(15.2±0.8)months.Conclusion:Treatment of lateral discoid meniscus injury under arthroscopy has the advantages of minor trauma,satisfactory results,precise resection or repair meniscus,preservation of more meniscus structure and function,and low incidence rate of osteoarthritis.If the operation is combined with standard rehabilitation training,the short-term effectiveness can be enhanced.