实用临床医药杂志
實用臨床醫藥雜誌
실용림상의약잡지
JOURNAL OF JIANGSU CLINICAL MEDICINE
2014年
15期
97-99
,共3页
盘状半月板%半月板成形术%康复训练%视觉模拟评分%膝关节功能 Lyshlom 评分
盤狀半月闆%半月闆成形術%康複訓練%視覺模擬評分%膝關節功能 Lyshlom 評分
반상반월판%반월판성형술%강복훈련%시각모의평분%슬관절공능 Lyshlom 평분
discoid meniscus%menisci reformation%rehabilitation training%visual ana-logue scale%Lyshlom knee functional score
目的：探讨半月板成形术及术后康复训练对儿童膝关节外侧盘状半月板的治疗价值。方法选取2005年1月-2010年1月诊治的14例双膝外侧盘状半月板患者（28个关节）为研究对象，26个关节行半月板成形术，2个关节行半月板完全切除术，术后均行康复训练。观察患者的临床疗效、治疗前后 VAS 评分、膝关节功能 Lyshlom 评分的变化及随访结果。结果所有患者均顺利完成手术，并获得2～4年随访，随访结果满意。术前视觉模拟评分（VAS）为（4．57±1．26）分，膝关节功能Lyshlom评分为（53．34±4．78）分；术后膝关节功能优良率为82．14％（23/28），VAS评分（0．92±0．13）分，Lyshlom评分（92．25±1．34）分，与治疗前比较均有显著差异（P ＜0．01）。结论半月板成形术及术后康复训练治疗儿童膝关节盘状半月板的临床疗效满意，术中应尽量保存半月板组织。
目的：探討半月闆成形術及術後康複訓練對兒童膝關節外側盤狀半月闆的治療價值。方法選取2005年1月-2010年1月診治的14例雙膝外側盤狀半月闆患者（28箇關節）為研究對象，26箇關節行半月闆成形術，2箇關節行半月闆完全切除術，術後均行康複訓練。觀察患者的臨床療效、治療前後 VAS 評分、膝關節功能 Lyshlom 評分的變化及隨訪結果。結果所有患者均順利完成手術，併穫得2～4年隨訪，隨訪結果滿意。術前視覺模擬評分（VAS）為（4．57±1．26）分，膝關節功能Lyshlom評分為（53．34±4．78）分；術後膝關節功能優良率為82．14％（23/28），VAS評分（0．92±0．13）分，Lyshlom評分（92．25±1．34）分，與治療前比較均有顯著差異（P ＜0．01）。結論半月闆成形術及術後康複訓練治療兒童膝關節盤狀半月闆的臨床療效滿意，術中應儘量保存半月闆組織。
목적：탐토반월판성형술급술후강복훈련대인동슬관절외측반상반월판적치료개치。방법선취2005년1월-2010년1월진치적14례쌍슬외측반상반월판환자（28개관절）위연구대상，26개관절행반월판성형술，2개관절행반월판완전절제술，술후균행강복훈련。관찰환자적림상료효、치료전후 VAS 평분、슬관절공능 Lyshlom 평분적변화급수방결과。결과소유환자균순리완성수술，병획득2～4년수방，수방결과만의。술전시각모의평분（VAS）위（4．57±1．26）분，슬관절공능Lyshlom평분위（53．34±4．78）분；술후슬관절공능우량솔위82．14％（23/28），VAS평분（0．92±0．13）분，Lyshlom평분（92．25±1．34）분，여치료전비교균유현저차이（P ＜0．01）。결론반월판성형술급술후강복훈련치료인동슬관절반상반월판적림상료효만의，술중응진량보존반월판조직。
Objective To explore the therapeutic values of menisci reformation and postoper-ative rehabilitation trainings in the treatment of infantile lateral discoid meniscus of both knees.Meth-ods A total of 14 patients with lateral discoid meniscus (28 knee-joints)admitted in our hospital from January 2005 to January 2010 served as study objects,in which 26 knee-joints were treated with menisci reformation and 2 with complete meniscectomy.Postoperative rehabilitation trainings were giv-en to all patients.Clinical efficacy,visual analogue scale (VAS)score and Lyshlom knee functional score before and after treatment as well as follow-up results were observed.Results All patients were with successful surgeries and followed up for 2 ~4 years with satisfactory results.Preoperative VAS and Lyshlom scores were (4.57 ±1.26)and (53.34 ±4.78)scores while postoperative ones were (0.92 ±0.13)and (92.25 ±1.34)scores,respectively,with postoperative excellent and effective rate of knee function were 82.14% (23 /28),which were all statistically significant when compared with treatment before (P <0.01).Conclusion Menisci reformation and postoperative rehabilitation train-ings have satisfactory clinical efficacy in the treatment of infantile lateral discoid meniscus of knee-joints,which can reserve the menisus tissues.
