CAJ | 학술논문

目的：探讨关节镜下治疗半月板囊肿联合半月板撕裂的临床疗效。方法2012年3月~2013年7月共收集10例半月板囊肿病例，其中男7例，女3例，通过MRI检查：10例患者均为半月板囊肿合并半月板撕裂，并最终关节镜下确诊，通过关节镜下将囊肿内减压后，利用缝合器械或 fast-fix将损伤的半月板缝合，术后进行康复训练。然后应用Ly-sholm评分系统对术前术后的关节功能进行比较。结果平均随访13个月，所有病例术前症状完全消失，术后无并发症发生，恢复正常活动。Lysholm scores术前平均(62.8±5.6)分，术后平均(95.3±3.6)分。应用Studeng-t检验术前和术后的关节功能评分差异有统计学意义(P<0.001)。结论关节镜下通过囊肿内减压及半月板缝合治疗半月板囊肿联合半月板撕裂，手术微创，恢复快，复发率低。
목적：탐토관절경하치료반월판낭종연합반월판시렬적림상료효。방법2012년3월~2013년7월공수집10례반월판낭종병례，기중남7례，녀3례，통과MRI검사：10례환자균위반월판낭종합병반월판시렬，병최종관절경하학진，통과관절경하장낭종내감압후，이용봉합기계혹 fast-fix장손상적반월판봉합，술후진행강복훈련。연후응용Ly-sholm평분계통대술전술후적관절공능진행비교。결과평균수방13개월，소유병례술전증상완전소실，술후무병발증발생，회복정상활동。Lysholm scores술전평균(62.8±5.6)분，술후평균(95.3±3.6)분。응용Studeng-t검험술전화술후적관절공능평분차이유통계학의의(P<0.001)。결론관절경하통과낭종내감압급반월판봉합치료반월판낭종연합반월판시렬，수술미창，회복쾌，복발솔저。
Objective To investigate the result of arthroscopic treatment of meniscal cysts with tear by using inner wal decompression and repair. Methods Ten patients with lateral meniscus anterior horn tear with cysts were col ected from March2012 to July 2013with 7 males and 3 females,Ten cases of lateral meniscus anterior horn tear with cysts were analyzed by MRI,and al cases were final y diagnosed by arthroscopy .using inner wal de-compression and repair by suture instruments or fast-fix,and postoperative rehabilitation,Lysholm scores before and after operation were compared. Results Al-patients fol ow-up were achieved with an average period of 13 months. and Al -patients Preoperative symptoms disappeared entirely,No one had complication after operation, and return to normal activities, Preoperative Lysholm scores was (62.8 ±5.6) points, postoperative scores was (95.3 ±3.6) points ,Lysholm scores had significance between pre-operation and post-operation (P<0.001). Conclusion Arthroscopic treatment of meniscal cysts with tear by using inner wal decompression and repair obtain a good clinical ef ect with minor invasion ,rapid recovery and low recurrence rate.