| 关节镜检查不同年龄段患者膝关节软骨损伤特点 |
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投稿时间：2011-12-08
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| 期刊信息：《中国骨伤》2012年，第25卷，第11期，第903-905页 |
| DOI：10.3969/j.issn.1003-0034.2012.11.006 |
| 基金项目: |
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中文摘要:
目的：统计关节镜下不同年龄段患者膝关节软骨损伤情况,分析关节软骨损伤发生的特点,为临床治疗方案的选择提供依据.
方法：自2004年11月到2005年9月,解放军总医院骨科共对568例膝关节疾病患者进行关节镜检查手术,男242例,女326例,年龄12～80岁,平均(43.0±11.2)岁.所有患者在术中采用医学影像处理系统进行拍照或录像记录软骨损伤情况.将上述568例划分为青少年组(≤44岁)和中老年组(>44岁),青少年组272例,中老年组296例,分别对2组患者软骨损伤发生的原因、分布的部位、损伤的程度进行回顾性分析并总结其特点.
结果：在568例中389例发现923处软骨损伤,其中关节镜手术中关节软骨损伤13处.青少年组121例发现212处软骨损伤,中老年组268例发现711处软骨损伤;软骨损伤的原因青少年组主要是半月板损伤(57/121),中老年组主要是骨性关节炎(218/268);软骨损伤部位2组均以股骨内髁、股骨外髁和髌骨关节面最为常见;软骨损伤程度中老年组以Ⅳ度损伤为主(330处),而青少年组以Ⅲ度损伤为主(71处).
结论：膝关节软骨损伤是一种十分普遍的现象,不同年龄段患者其软骨损伤的特点存在差异,对不同年龄段软骨损伤患者的处理措施应区别对待. |
| 【关键词】膝关节 软骨,关节 关节镜 年龄因素 |
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| Analysis of the characteristics of articular cartilage lesions under knee arthroscopy in different age groups |
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ABSTRACT
Objective:To provide reliable data on articular cartilage lesions in different age group of patients with symptomatic knees requiring arthroscopy,and to analyze the characteristics of articular cartilage lesions.
Methods:From November 2004 to September 2005,568 patients were under arthroscopy in orthopaedics of Chinese PLA General Hospital. There were 242 males and 326 females,with a mean age of (43.0±11.2) years (ranged,12 to 80 years). Surgery information including causes of injury,onset of symptoms,meniscus lesions,cruciate ligament pathology,articular cartilage lesions were collected by a special Data Management software. All the patients were divided into two groups:youth group and middle-aged group. The data of articular cartilage lesions of patients in the two groups were collected.
Results:There were 923 articular cartilage lesions in 389 patients,and 13 lesions were iatrogenic. In youth group,212 lesions were found in 121 patients,and the main cause of lesions was menisci menisci injury(57/121 cases). In middle-aged group,711 lesions were found in 268 patients,and the main cause of lesions was osteoarthritis(218/268 cases). The articular cartilage lesions located majorly in the lateral femoral condyle,medial femoral condyle and patellae in patients of the two groups. The major depth of the lesion was grade Ⅳ(330 lesions) in middle-aged group and gradeⅢ(71 lesions) in youth group,respectively.
Conclusion:Articular cartilage lesions are common in patients under arthroscopy,and articular cartilage lesions of different age group of patients are different,so the best treatment method should be chosen regarding to age factors of patinets. |
| KEY WORDS Knee joint Cartilage,articular Arthroscopes Age factors |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李海鹏,孙天胜,朱娟丽,刘玉杰.关节镜检查不同年龄段患者膝关节软骨损伤特点[J].中国骨伤,2012,25(11):903~905 |
| 英文格式: | LI Hai-peng,SUN Tian-sheng,ZHU Juan-li,LIU Yu-jie.Analysis of the characteristics of articular cartilage lesions under knee arthroscopy in different age groups[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(11):903~905 |
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