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编号:10858636
膝骨关节病的关节镜诊断治疗
http://www.100md.com 《第四军医大学学报》 2001年第13期
膝关节,,膝关节;骨关节病;关节镜,0引言,1临床资料,2结果,3讨论,参考文献
     关键词: 膝关节;骨关节病;关节镜

    摘 要:目的 通过对79例84膝骨关节病的关节镜诊断治疗回顾性总结,探讨高效率、创伤小、疗效佳的方法. 方法 采用关节镜微创技术,结合术前检查对膝骨关节病分为:软骨破坏型,滑膜类型,游离体型及半月板型,依此施行有针对性,局限化手术治疗. 结果 69膝得到6mo~3a的随访,按膝关节综合评分表评分,优20%,良59%,可和差21%. 结论 该方法具有创伤小、康复快、并发症少等优点.在病损严重的病例,全膝置换或截骨术是进一步提高总体疗效的适宜选择.

    Arthroscopic diagnosis and treatment of gonarthro┐sis

    ZHANG Chun-Li LI Ming-Quan LI Li-Wen SUN Liang LI Yu-Min

    1 Institute of Orthopaedics of Chinese PLA,Xijing Hospital,Fourth Military Medical University,Xi'an710033,China,

    2 Department of Orthopaedics,Weinan District Hospital

    Keywords:gonarthrosis;knee joint;arthroscopy

    Abstract:AIM To find out an efficient,less trauma and best outcome procedure for arthroscopic treatment of go┐narthrosis.METHODS 79cases of gonarthrosis(84joints)were bascially divided into four types:cartilage lesion,syn-ovitis,loose body and menisci tears by the combination of preoperative physical examination and arthroscopy.The man-agement was aimed and localized according to the different types.RESULTS Clinical outcomes of69joints were excel-lent:20% ......

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