| 前交叉韧带囊肿的临床表现与关节镜治疗 |
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Received:June 12, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 余华晨 |
YU Hua-chen |
温州医科大学附属第二医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the Second Hospital Affiliated to Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 温宏 |
WEN Hong |
温州医科大学附属第二医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the Second Hospital Affiliated to Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
hemingway@163.com |
| 张宇 |
ZHANG Yu |
温州医科大学附属第二医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the Second Hospital Affiliated to Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 胡月正 |
HU Yue-zheng |
温州医科大学附属第二医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the Second Hospital Affiliated to Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 潘孝云 |
PAN Xiao-yun |
温州医科大学附属第二医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the Second Hospital Affiliated to Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 陈成旺 |
CHEN Cheng-wang |
温州医科大学附属第二医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the Second Hospital Affiliated to Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 薛恩兴 |
XUE En-xing |
温州医科大学附属第二医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the Second Hospital Affiliated to Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2014年27卷，第8期，第638-641页 |
| DOI：10.3969/j.issn.1003-0034.2014.08.005 |
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目的：探讨膝关节前交叉韧带囊肿的临床表现和关节镜手术疗效。
方法：回顾性分析自2005年1月至2010年12月收治的12例症状性膝关节前交叉韧带囊肿的资料。男8例，女4例；年龄19~53岁，平均（33.7±9.5 ）岁；左膝5例，右膝7例；病程3~48个月，平均（15.8±13.2）个月。术中关节镜下完整切除前交叉韧带囊肿。记录术前术后膝关节的活动度，膝关节功能采用Lysholm评分标准进行评定。
结果：术后患者切口均Ⅰ期愈合， 无相关并发症发生。12例均获随访，时间24~48个月，平均（32.3±6.6）个月。患膝关节疼痛、肿胀、交锁症状均消失，随访期间无复发。术后关节活动度及 Lysholm 评分均较术前明显改善。
结论：关节镜诊治症状性前交叉韧带囊肿具有创伤小、恢复快的优点，是治疗症状性膝关节前交叉韧带囊肿的有效治疗手段。 |
| [关键词]:前交叉韧带 囊肿 关节镜 |
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| Arthroscopic treatment of symptomatic anterior cruciate ligament cysts of the knee |
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Abstract:
Objective: To explore the clinical symptom and effect of arthroscopic treatment of symptomatic anterior cruciate ligament(ACL) cysts of the knee.
Methods: Clinical data from 12 symptomatic ACL cysts patients from January 2005 to December 2010 were retrospectively analyzed,including 8 males and 4 females,with an average age of (33.7±9.5) years old (ranged,19 to 53 years old). The locations were the left knee in 5 cases and the right knee in 7 cases. The disease duration ranged from 3 to 48 months,with a mean of (15.8±13.2) months. All cysts were arthroscopically resected. Range of motion was measured preoperatively and postoperatively,and Lysholm scoring system was used to evaluate the knee function.
Results: All the incisions healed by first intention,and no complications occurred. Twelve patients were followed up for an average of (32.3±6.6) months(ranged,24 to 48 months). The symptoms of arthralgia,swelling and interlocking of the affected knees disappeared. There was no recurrence during the follow-up. There were significant differences in the range of motion and Lysholm score between pre-operation and post-operation.
Conclusion: Arthroscopic surgery,showing its advantages of minimal invasion and rapid recovery,is an effective measure in the treatment of ACL cysts. |
| KEYWORDS:Anterior cruciate ligament Cysts Arthroscopes |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 余华晨,温宏,张宇,胡月正,潘孝云,陈成旺,薛恩兴.前交叉韧带囊肿的临床表现与关节镜治疗[J].中国骨伤,2014,27(8):638~641 |
| 英文格式: | YU Hua-chen,WEN Hong,ZHANG Yu,HU Yue-zheng,PAN Xiao-yun,CHEN Cheng-wang,XUE En-xing.Arthroscopic treatment of symptomatic anterior cruciate ligament cysts of the knee[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(8):638~641 |
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