| 关节镜结合小针刀松解膝内侧副韧带浅层治疗退行性膝关节内侧半月板损伤 |
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投稿时间：2019-10-03
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| 作者 | Author | 单位 | Address | E-Mail |
| 彭奇 |
PENG Qi |
海宁市中医院关节外科, 浙江 海宁 314400 |
Department of Joint Surgery, Haining Hospital of Traditional Chinese Medicine, Haining 314400, Zhejiang, China |
190883193@qq.com |
| 李晓东 |
LI Xiao-dong |
海宁市中医院关节外科, 浙江 海宁 314400 |
Department of Joint Surgery, Haining Hospital of Traditional Chinese Medicine, Haining 314400, Zhejiang, China |
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| 曹广杰 |
CAO Guang-jie |
海宁市中医院关节外科, 浙江 海宁 314400 |
Department of Joint Surgery, Haining Hospital of Traditional Chinese Medicine, Haining 314400, Zhejiang, China |
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| 胡智旭 |
HU Zhi-xu |
海宁市中医院关节外科, 浙江 海宁 314400 |
Department of Joint Surgery, Haining Hospital of Traditional Chinese Medicine, Haining 314400, Zhejiang, China |
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| 郑师强 |
ZHENG Shi-qiang |
海宁市中医院关节外科, 浙江 海宁 314400 |
Department of Joint Surgery, Haining Hospital of Traditional Chinese Medicine, Haining 314400, Zhejiang, China |
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| 史聪发 |
SHI Cong-fa |
海宁市中医院关节外科, 浙江 海宁 314400 |
Department of Joint Surgery, Haining Hospital of Traditional Chinese Medicine, Haining 314400, Zhejiang, China |
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| 期刊信息：《中国骨伤》2019年，第32卷，第12期，第1090-1093页 |
| DOI：10.3969/j.issn.1003-0034.2019.12.001 |
| 基金项目: |
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中文摘要:
目的：探讨采用关节镜结合小针刀松解膝内侧副韧带浅层治疗退行性膝关节内侧半月板损伤的临床效果。
方法：选择2016年2月至2018年11月存在膝关节内侧间隙局限性疼痛、绞锁、屈曲受限，X线Kellgren-Lawrence分级Ⅰ-Ⅱ级，MRI提示为膝关节内侧半月板损伤（Ⅲ度）患者56例（56膝），其中男30例（30膝），女26例（26膝），采用关节镜下内侧半月板成形加小针刀松解内侧副韧带浅层。采用Lysholm膝关节评分标准判断手术效果。
结果：56例术后均获随访，时间3~24个月，平均10个月。根据Lysholm膝关节评分标准，末次随访膝关节评分（85.72±5.28）分，较术前（37.24±1.32）分提高（P<0.05）。
结论：关节镜结合小针刀松解膝内侧副韧带浅层治疗退行性膝关节内侧半月板损伤能有效改善膝关节内外侧力学平衡，促进患者膝关节功能的恢复，具有临床推广价值。 |
| 【关键词】关节镜 针刺疗法 胫骨半月板损伤 |
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| Treatment of degenerative medial meniscus injury of knee joint by arthroscopy combined with small needle knife to release superficial medial collateral ligament of knee joint |
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ABSTRACT
Objective: To explore the clinical effect of arthroscopic combined with small needle knife in the treatment of degenerative medial meniscus (MM) injury of knee joint by releasing the superficial layer of medial collateral ligament (SMCL).
Methods: From February 2016 to November 2018,56 patients (56 knees) with limited pain,strangulation and flexion in medial knee joint space were selected. X-ray Kellgren-Lawrence grading wasⅠ-Ⅱ. MRI showed medial meniscus injury(Ⅲ degree) of knee joint. There were 30 males(30 knees) and 26 females(26 knees). Arthroscopic MM plasty and small needle knife were used to release SMCL. The Lysholm knee score was used to evaluate the effect of operation.
Results: All 56 patients were followed up,and the duration ranged from 3 to 24 months,with an average of 10 months. According to the Lysholm knee score standard,the final follow-up was compared with that of before operation. The results showed that the preoperative knee score was 37.24±1.32,the latest follow-up knee score was 85.72±5.28,the knee score was higher than that before the operation(P<0.05).
Conclusion: Arthroscopy combined with small needle knife release of superficial medial collateral ligament in the treatment of degenerative medial knee meniscus injury can effectively improve the mechanical balance of the knee joint,improve Lysholm knee score in patients with knee meniscus injury,and promote the recovery of knee joint function,which has clinical value. |
| KEY WORDS Arthroscopes small needle knife Tibial meniscus injuries |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 彭奇,李晓东,曹广杰,胡智旭,郑师强,史聪发.关节镜结合小针刀松解膝内侧副韧带浅层治疗退行性膝关节内侧半月板损伤[J].中国骨伤,2019,32(12):1090~1093 |
| 英文格式: | PENG Qi,LI Xiao-dong,CAO Guang-jie,HU Zhi-xu,ZHENG Shi-qiang,SHI Cong-fa.Treatment of degenerative medial meniscus injury of knee joint by arthroscopy combined with small needle knife to release superficial medial collateral ligament of knee joint[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(12):1090~1093 |
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