【摘要】 目的 探讨关节镜下粘连松解术对治疗严重膝关节纤维性僵直的可行性及价值。方法作者自１９９２ 年１０ 月～１９９８ 年５ 月，采用钝性探钩分离并结合关节镜下粘连松解术， 治疗严重膝关节粘连２５ 例， 与同期切开治疗的２２ 例患者进行比较。结果 关节镜下组关节活动度从术前平均５５．６８°， 改善为平均１１０．４°， 改善了５４．７°（Ｐ＜ ０．０１）。与切开组相比， 术后住院时间、手术时间、出血量、引流量均明显减少（Ｐ＜ ０．０１）， 并发症少（Ｐ＜ ０．０５）且轻。结论 关节镜下粘连松解术是一个创伤小、适应证广、效果好、安全有效的治疗方法。更多还原

【Abstract】 Objective To investigate the possibility and superiority of arthroscopic release of severe knee arthrofibrosis. Methods The clinical results of a series of 25 patients who had severe knee range of motion restriction treated by probe adhesion release with arthroscopy were compared with another series of 22 cases treated by open procedure. Results The range of motion in the arthroscopic group were improved from 55.68°to 110.4°at the time of discharge, with an average of 54.7°(P< 0.01). The duration for hospitalization and operation, and the amount of bleeding and drainage were significantly reduced in the arthroscopic group compared with those undergone open procedure(P< 0.01). Conclusion Arthroscopic release of knee arthrofibrosis is a safe and efficient procedure, with less complication, wide indication and good outcome.更多还原