目的 探讨关节镜手术治疗不同原因引起的股骨髁间窝撞击综合征的短期疗效.方法回顾性分析2016年1月至2017年1月于我院采用关节镜手术治疗并获得随访的52例(58膝)股骨髁间窝撞击综合征病人的临床资料,其中男24例,女28例;年龄为28~65岁,平均(49.8±10.3)岁,单独左膝23例,单独右膝23例,双膝6例;病史为3个月~12年.收集并比较病人手术前后关节屈曲及伸直功能的改善情况和患肢手术前后的膝关节Lysholm评分等指标.结果本组病例随访6个月以上,膝关节最大屈曲角度由术前的108.0°±10.2°(100°~120°)提高到术后的125.0°±7.9°(120°~135°),最大伸直角度由术前的16.0°±4.9°(10°~20°)改善为术后的6.2°±3.7°(0°~10°),膝关节伸、屈角度明显改善,差异均有统计学意义(t=5.938,t=7.142,P均<0.001);术后膝关节Lysholm评分为(87.0±9.8)分(82~100分),较术前的(51.0±11.8)分(41~78分)明显提高,差异有统计学意义(t=2.530,P<0.05).结论采用关节镜手术治疗股骨髁间窝撞击综合征,可明显改善术后膝关节屈伸等功能,临床效果良好.%Objective To investigate the curative effect of arthroscopic surgery in the treatment of femoral intercondylar notch impingement syndrome caused by different causes. Methods A retrospective analysis was performed on 52 cases (58 knees) of femoral intercondylar notch impingement syndrome treated with arthroscopic surgery from January 2016 to January 2017 in our hospital. There were 24 males and 28 females with an average age of 49.8±10.3 years (range, 28-65 years old). There were 23 knees at left side alone, 23 knees at right side alone, and 6 cases at both sides. The medical history was 3 months to 12 years. The knee flexion angle, straight angle and knee joint Lysholm score were collected and compared. Results All cases were followed up for at least 6 months, the knee flexion angle was increased from 108.0°±10.2° (100°-120°) to 125.0°±7.9° (120°-135°) after operation, the straight angle was reduced from 16.0°±4.9° (10°-20°) to 6.2°±3.7° (0°-10° ), the knee joint Lysholm score was increased from 51.0 ± 11.8 (41-78) to 87.0 ± 9.8 (82-100) after operation, the differences were statistically significant (t=5.938, t=7.142, t=2.530, P<0.05 for all). Conclusion Arthroscopic surgery has a good clinical effect in the diagnosis and treatment of femoral intercondylar notch impingement syndrome, and the flexion and extension function of knee joint after operation could be obviously improved.
展开▼
