关节镜手术治疗半月板损伤的临床疗效

摘要

目的：探讨应用关节镜手术治疗膝关节半月板损伤的临床疗效。方法应用关节镜微创技术治疗68例膝关节半月板损伤患者，采用Lysholm膝关节评分表进行疗效评价。结果68例均获随访，时间6~24个月。 Lysholm评分：术前44．3分±3．8分，术后6个月81．2分±5．1分，差异有统计学意义( P<0．01)。按Molster对Lysholm评分的分级方法评价疗效：优49膝(72．1%)，良8膝(11．8%)，可9膝(13．2%)，差2膝(2．9%)，优良率为83．8%。结论应用关节镜微创手术诊治膝关节半月板损伤成功率高、创伤小；术后关节功能恢复快、并发症少。关节镜下根据半月板损伤的类型程度采取相应的治疗方案，并配合正规的术后康复训练可取得良好的治疗效果。%Objective To evaluate clinical effect of arthroscopic operative methods of meniscal tear. Methods 68 cases of arthroscopic treatment of meniscal tear were followed up and evaluated by the Lysholm knee scoring sheet. Results 68 patients were followed up for 6 ~24 months. Lysholm scores was 44. 3 ± 3. 8 before operation and 81. 2 ± 5. 1 in 6 months after operation,the difference was statistically significant (P<0. 01). According to the clas-sification of Molster on Lysholm score, forty-nine repaired menisci were rated as excellent ( 72. 1%) , 8 good (11. 8%),9 fair(13. 2%),and 2 poor(2. 9%). The total excellent and good rate was 83. 8%. Conclusions Ar-throscopic treatment of meniscal tear have a high successful rate and low perioperative risk,which is less invasive, with early functional recovery. According to the classification of the injury under the arthroscopy, the properly surgery methods and rehabilitation after the surgery are selected, which will effectively restore the function of the injuried knee and have a satisfactory clinical result.