CAJ | 학술논문

目的：探讨关节镜在膝关节不典型疼痛患者的诊断和早期治疗中的临床应用价值。方法选取2011年8月至2013年1月收治入重庆医科大学附属第一医院骨科进行治疗的未明确诊断的膝关节疼痛患者74例，所有患者入院后给予 MRI、X线检查及膝关节镜诊断性探查并进行手术治疗。结果膝关节不典型疼痛关节镜探查结果显示：滑膜炎18例，前交叉韧带损伤12例，髌下脂肪垫肥厚11例，骨性关节炎23例，关节游离体10例。与术前比较，最后1次随访患者 VAS疼痛评分显著降低（t＝4．72，P＜0．05），Lysholm膝关节功能评分明显提高（t＝8．77，P＜0．05），关节镜手术治疗前、后差异有统计学意义（P＜0．05）。结论关节镜对诊断膝关节不典型疼痛至关重要，为指导临床诊断和治疗提供了明确依据。
목적：탐토관절경재슬관절불전형동통환자적진단화조기치료중적림상응용개치。방법선취2011년8월지2013년1월수치입중경의과대학부속제일의원골과진행치료적미명학진단적슬관절동통환자74례，소유환자입원후급여 MRI、X선검사급슬관절경진단성탐사병진행수술치료。결과슬관절불전형동통관절경탐사결과현시：활막염18례，전교차인대손상12례，빈하지방점비후11례，골성관절염23례，관절유리체10례。여술전비교，최후1차수방환자 VAS동통평분현저강저（t＝4．72，P＜0．05），Lysholm슬관절공능평분명현제고（t＝8．77，P＜0．05），관절경수술치료전、후차이유통계학의의（P＜0．05）。결론관절경대진단슬관절불전형동통지관중요，위지도림상진단화치료제공료명학의거。
Objective To explore the clinical application value of arthroscopy in the diagnosis and early treatment of knee joint a-typical pain.Methods 74 patients with knee joint pain and undetermined diagnosis in the orthopedic department of these hospitals from October 2011 to January 2013 were selected.All cases were given the MRI,X-ray examinations and the knee joint diagnostic exploration and the operation treatment was performed.Then the results were analyzed.Results The results of the arthroscopic ex-ploration in knee joint atypical pain showed 18 cases of synovitis,12 cases of anterior cruciate ligament injury,11 cases of subpatel-lar fat pad hypertrophy,23 cases of osteoarthritis and 10 cases of joint loose bodies.Compared with pre-operation,the VAS pain scores in last followed-up were obviously declined (t=4.72,P<0.05),while the functional scores of the knee joints were signifi-cantly increased (t=8.77,P<0.05).The difference between pre-operation and post-operation had statistical significance.Conclu-sion Arthroscopy can play an important role in the diagnosis of atypical pain in knee joint and provides definite basis for guiding the clinical diagnosis and therapy.