CAJ | 학술논문

目的：随着关节镜的广泛应用，滑膜皱襞综合征在临床上已经得到越来越多的重视。文中探讨膝关节髌内侧滑膜皱襞综合征的诊断、治疗及治疗效果。方法回顾性分析南京军区南京总医院骨科2008年1月至2011年12月间收治的诊断为膝关节髌内侧滑膜皱襞综合征、膝关节内侧半月板损伤、髌软骨软化症的膝关节紊乱患者198例。入院前均给予常规体检和MRI检查，住院期间均行膝关节镜手术，术前及术后的膝关节功能根据Lysholm评分系统进行评定，并随访疗效。结果46例经关节镜诊断为单纯髌内侧滑膜皱襞综合征，病理性滑膜皱襞均彻底清除。术后44例获得随访，平均随访时间为26个月（6～32个月），治疗结果优良率为95．5％。结论膝关节紊乱患者中膝关节髌内侧滑膜皱襞综合征占较大比例。关节镜技术仍可作为诊断膝关节髌内侧滑膜皱襞综合征的“金标准”，采取镜下彻底切除滑膜皱襞疗效确切。
목적：수착관절경적엄범응용，활막추벽종합정재림상상이경득도월래월다적중시。문중탐토슬관절빈내측활막추벽종합정적진단、치료급치료효과。방법회고성분석남경군구남경총의원골과2008년1월지2011년12월간수치적진단위슬관절빈내측활막추벽종합정、슬관절내측반월판손상、빈연골연화증적슬관절문란환자198례。입원전균급여상규체검화MRI검사，주원기간균행슬관절경수술，술전급술후적슬관절공능근거Lysholm평분계통진행평정，병수방료효。결과46례경관절경진단위단순빈내측활막추벽종합정，병이성활막추벽균철저청제。술후44례획득수방，평균수방시간위26개월（6～32개월），치료결과우량솔위95．5％。결론슬관절문란환자중슬관절빈내측활막추벽종합정점교대비례。관절경기술잉가작위진단슬관절빈내측활막추벽종합정적“금표준”，채취경하철저절제활막추벽료효학절。
Objective With the emerging omnipresence of arthroscopy, the plica syndrome has achieved a clinical recogni-tion as a pathological entity .This study is to investigate the clinical diagnosis and treatment of the medial plica syndrome of the knee . Methods We retrospectively analyzed 198 cases of medial plica syndrome, internal semilunar cartilage and chondromalacia patellae in the knee joints treated in our department from January 2008 to December 2011 .All the patients received physical and MRI examina-tions before admission and underwent plicaectomy, their knee function evaluated according to their Lysholm scores pre-and post-opera-tively. Results The diseased plica synovialis was completely excised in 46 cases diagnosed as simple medial plica syndrome by ar-throscopy.Forty-four of the patients were followed up for 6 to 32 (mean 26) months, and the excellence rate of treatment result was 95.5%. Conclusion Medial plica syndrome of the knee constitutes a larger proportion of knee disorders, for which arthroscopy re-mains the best diagnostic option and total excision of the diseased plica synovialis is an effective treatment .