医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
15期
2773-2774,2775
,共3页
王小武(综述)%张鹏(审校)
王小武(綜述)%張鵬(審校)
왕소무(종술)%장붕(심교)
同种异体移植%半月板%膝关节%关节镜
同種異體移植%半月闆%膝關節%關節鏡
동충이체이식%반월판%슬관절%관절경
Allograft transplantation%Meniscus%Knee joint%Arthroscopy
目前对于严重的半月板损伤患者,临床上在半月板的保留和修复技术上存在较大的困难,同种异体半月板移植可恢复膝关节半月板的解剖和生理结构,重建膝关节生物力学环境,避免因半月板切除引起的膝关节退变。同时半月板具有免疫屏蔽和良好的组织相容性等特点,随着关节镜技术的进一步发展,同种异体半月板移植已经成为严重半月板损伤治疗的一项重要技术方法,通过随访观察,具有较好的中短期疗效,远期疗效尚需要进一步研究。
目前對于嚴重的半月闆損傷患者,臨床上在半月闆的保留和脩複技術上存在較大的睏難,同種異體半月闆移植可恢複膝關節半月闆的解剖和生理結構,重建膝關節生物力學環境,避免因半月闆切除引起的膝關節退變。同時半月闆具有免疫屏蔽和良好的組織相容性等特點,隨著關節鏡技術的進一步髮展,同種異體半月闆移植已經成為嚴重半月闆損傷治療的一項重要技術方法,通過隨訪觀察,具有較好的中短期療效,遠期療效尚需要進一步研究。
목전대우엄중적반월판손상환자,림상상재반월판적보류화수복기술상존재교대적곤난,동충이체반월판이식가회복슬관절반월판적해부화생리결구,중건슬관절생물역학배경,피면인반월판절제인기적슬관절퇴변。동시반월판구유면역병폐화량호적조직상용성등특점,수착관절경기술적진일보발전,동충이체반월판이식이경성위엄중반월판손상치료적일항중요기술방법,통과수방관찰,구유교호적중단기료효,원기료효상수요진일보연구。
For patients with severe meniscus injury ,there is a big difficulty in meniscus maintaining and repair technology.Meniscus allograft transplantation can restore the anatomical and physiological structure of the knee joint meniscus,and reconstruct the knee joint biomechanics environment ,so it can avoid the degen-eration of the knee joint due to resection of meniscus .There are many characteristics of the meniscus such as immune evasion and good histocompatibility,and with the development of arthroscopic technique,meniscus allograft transplantation has become an important technology for the treatment of serious meniscus jury . Meniscus allograft transplantation shows good curative efficacy in short-term follow-up,while the long-term curative efficacy still needs further research .