关节镜下诊治膝内侧盘状半月板4例

摘要

目的:探讨关节镜下诊治的4例膝内侧盘状半月板的临床特点.方法:自2012年4月至2015年5月,采用关节镜诊治膝关节内侧盘状半月板4例(4膝),其中男1例,女3例;年龄7～56岁,平均26岁.4例患者均在关节镜下行半月板成形术,观察术后症状体征并采用Lysholm膝关节评分进行疗效评价.结果:4例患者均获得随访,时间6～20个月,平均12个月.末次随访时患膝Lysholm评分为83.5±10.0,其中优2膝,良1膝,中1膝.结论:膝内侧盘状半月板早期临床症状不典型,容易漏诊,常因半月板撕裂产生明显症状而就诊,确诊后宜尽早手术,半月板成形术疗效良好.%Objective:To explore clinical characteristics of 4 patients with knee discoid medial meniscus under arthroscopic.Methods:From April 2012 to May 2015,4 patients (4 knees) with knee discoid medial meniscus were treated with arthroscopic,including 1 male and 3 females,aged from 7 to 56 years old with an average of 26 years old.All patients were performed discoid meniscus plasty under arthroscopic.Postoperative symptoms and signs were observed,and clinical effects were evaluated by Lysholm knee scores.Results:All patients were followed up from 6 to 20 months with an average of 12 months.At the latest follow-up,Lysholm scores were 83.5± 10.0;2 knees got excellent results,1 knee good,and 1 knee moderate.Conclusion:Knee discoid medial meniscus is easily missed diagnosis for atypical and early clinical symptoms,and seeing a doctor for obvious symptoms with meniscus tear,and could receive good curative effects after diagnosis as soon as possible.