【摘要】 研究目的 :研究半月板全切除术远期疗效及其影响因素 ;研究方法 :对 98例半月板全切除术患者的远期疗效及其影响因素进行随诊观察 ,术后随诊时间 1 0年至 40年 ,平均 2 0年 ;主要结果和结论 :全部患者主观满意率为77.5 % ,统计学分析表明远期疗效与术后随诊时间长短有显著相关性。 44例患者行 X线检查 ,95 .5 %的患者膝关节出现明显退行性改变 ,其综合评定结果优良率为 2 9.5 %。作者认为 ,半月板具有十分重要的生物力学功能 ,半月板全切除术将导致骨性关节炎的发生 ;建议 :对半月板损伤应尽早做出诊断并进行治疗 ,尽可能避免半月板全切除术。更多还原

【Abstract】 The late results and the factors affecting the late results after total meniscectomy were studied. 98 patients with total meniscectomy were reviewed with an average follow-up period of 20 years (10 to 40 years). The results showed that 77.5% of the patients were pleased with the outcome. Statistical analysis indicated that the late results were related to the time of follow-up. Radiological degeneration of the knee was seen in 95.5% of the 44 patients, 29.5% of the 44 patients had satisfactory results according to the evaluation combined with objective and roentgenographic results. It is indicated from this retrospective study that meniscus has very important biomechanical function and osteoarthritis could be induced by total meniscectomy. It is suggested that injury of meniscus should be diagnosed and treated in early stage, total meniscectomy should be as for as possible avoided.更多还原