| 膝关节骨性关节炎半月板退变情况分析 |
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Received:May 21, 2002
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| 期刊信息：《中国骨伤》2002年15卷，第9期，第516-517页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:观察半月板在膝关节骨性关节炎中的退变情况,探索半月板退变与膝关节骨性关节炎临床表现的关系。
方法:对43例行关节清理术的膝关节半月板进行观察,根据半月板的退变程度,将其分为三型:粗糙型、磨损型和破裂型。比较各类型退变出现关节间隙压痛、关节交锁、McMurray试验(+)、Apley试验(+)的比率并进行统计学分析。
结果:43膝83个半月板中有66个出现退变,占79.5%。粗糙型34个,占51.5%;磨损型23个,占34.8%;破裂型9个,占13.6%。各型合并半月板松弛者14个,占21.2%。比较三种类型中的4个指标,差异无显著性意义(P>0.05)。
结论:膝关节骨性关节炎普遍存在半月板退变,由于缺乏典型的临床表现,在临床检查中不易发现,手术中要避免遗漏对半月板的探查和处理。 |
| [关键词]:半月板 关节炎,退行性 膝关节 |
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| Analysis of meniscus degeneration in osteoarthritis of knee joint |
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Abstract:
Objective:To observe the meniscus degeneration of osteoarthritis of knee joint and to explore the relationship between degenerated meniscus and clinical manifestation of osteoarthritis of knee joint
Methods:83 menisci in 43 patients were treated with arthroxesis were observed.According to the degree of the degeneration,the degenerated menisci were classified as Rough type,Wear and Tear type and Rupture type.The incidence of tenderness at the joint level,locking,positive Mc Murray test and positive Grinding test of Apley in the three groups were compared statistically.
Results:66 menisci(79.5%) were degenerated among 43 knee joints.Of them,Rough type was seen in 34(51.5%),Wear and Tear type in 23(34.8%),Rupture typein 9(13.6%).Combine with Slackness 14(21.2%).There was no significant difference among three types at four indices (P>0.05).
Conclusion:Most of meniscus were degenerated in osteoarthritis of knee,there are no typical symptoms and signs found in clinical examination.One should pay attention to the condition of the meniscus during surgery render treatment accordingly. |
| KEYWORDS:Menisci Arthritis,degeneration Knee joint |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 吴剑峰,王庆甫,张卫.膝关节骨性关节炎半月板退变情况分析[J].中国骨伤,2002,15(9):516~517 |
| 英文格式: | WU Jian feng,WANG Qing pu,ZHANG Wei.Analysis of meniscus degeneration in osteoarthritis of knee joint[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(9):516~517 |
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