【摘要】 目的探讨膝关节镜下手术修复和术后药物辅助治疗半月板损伤的疗效。方法对22例半月板撕裂的患者行膝关节镜下半月板修复术(其中16例从外到内缝合,6例从内到外缝合),术后给予玻璃酸钠膝关节腔内注射辅助治疗,通过二期膝关节镜和MRI检查、Lysholm膝关节功能评分对治疗效果进行评价。结果22例患者膝关节镜下半月板修复术均取得成功。二期关节镜检查5例,显示半月板愈合良好;MRI复查17例,显示半月板愈合15例,未完全愈合和未愈合各1例;术后Lysholm平均评分较术前明显提高,差异具有统计学意义(P<0.01);疗效优14例,良6例,可1例,差1例,优良率90.9%(20/22)。结论膝关节镜下半月板修复术结合玻璃酸钠膝关节腔内注射治疗半月板损伤可取得良好的疗效。更多还原

【Abstract】 Objective To evaluate the efficacy of arthroscopic repair surgery combined intraarticular injection of hyaluronate in treatment of meniscal injury.Methods Twenty two patients with torn meniscus underwent arthroscopic meniscus repair surgery,among them 16 patients were treated with suture from outside to inside and another 6 from inside to outside.Sodium hyaluronate was injected intraarticularly after surgery.The patients were followed-up with knee arthroscopy or MR I examination;and the efficacy was also evaluated with Lysholm knee score.Results Knee meniscus repair surgery in 22 cases was all successful.Arthroscopic examination in 5 cases during follow up indicated meniscal healing well.MRI examinations were performed in 17 patients,among whom 15 displayed meniscal healing,1 was not completely healed and 1 did not heal.The mean postoperative Lysholm scores improved significantly compared to the preoperative scores(P<0.01).In 22 patients the results were excellent in 14 cases,good in 6 cases,poor or not good in 1 case respectively with a good/excellent rate of 90.9%(20/22).Conclusion Arthroscopic meniscus repair surgery combined with intraarticular injection of sodium hyaluronate is effective in treatment of knee meniscus injury.更多还原