关节镜下微创清理术治疗鹅足滑囊炎
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郑州市骨科医院

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Arthroscopic minimally invasive debridement for treatment of pes anserinus bursitis
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Zhengzhou Orthopaedics Hospital

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    摘要:

    摘要:[目的] 探讨关节镜下微创清理术治疗鹅足滑囊炎的临床效果。[方法] 回顾性分析2015年10月至2018年10月本科初次接受手术治疗的鹅足滑囊炎患者12例(7膝),所有患者均在关节镜下微创清理鹅足滑囊局部囊肿,其中男5例,女7例,年龄31至60岁(平均46.5岁),记录手术前后的膝关节活动度、疼痛数字评价量表(numerical rating scale,NRS)评分及Lysholm膝关节功能评分。[结果] 术后随访时间6~24个月(平均11.5个月),术后均未出现血管、神经或手术切口并发症,未见复发病例。末次随访时,患者膝关节活动度由术前平均(112.50±11.99)°恢复至(134.42±4.23)°,静息性疼痛NRS评分由术前(5.42±1.24)分降低至术后(1.08±0.79)分,活动性疼痛NRS评分由术前(6.83±1.34)分降低至术后(1.42±1.17)分,Lysholm评分由术前(57.25±8.31)分提高至(85.33±7.11)分,手术前后间差异均具有统计学意义(P<0.001)。[结论] 关节镜下微创清理术治疗鹅足滑囊炎具有创伤小、关节功能恢复快、囊肿切除彻底、不易复发等优点,患肢功能恢复满意,值得临床推广应用。

    Abstract:

    Abstract: [Objective] To evaluate the clinical efficacy of arthroscopic minimally invasive debridement in the treatment of pes anserinus bursitis. [Methods] From October 2015 to October 2018, 12 consecutive patients (21 knees) with pes anserinus bursitis were treated with arthroscopic debridement. There were 5 males and 7 females , aged 31 to 60 years (average 46.5 years). Follow-up assessment included range of motion (ROM), numerical rating scale (NRS) for pain and Lysholm score. [Results] All patients were followed up for 6 to 24 months (average 11.5 months). No serious complications or recurrence occurred postoperatively. The mean preoperative range of motion of the knees improved from (112.50±11.99)° to (134.42±4.23)° at final follow-up (P<0.001). The mean Lysholm score was 57.25±8.31 preoperatively and 85.33±7.11 at final follow-up (P<0.001). The mean NRS pain score during quiet stage was 5.42±1.24 preoperatively and 1.08±0.79 at final follow-up (P<0.001). The mean NRS pain score during movement stage was 6.83±1.34 preoperatively and 1.42±1.17 at final follow-up (P<0.001). [Conclusion] Arthroscopic minimally invasive debridement is an effective and reliable treatment for pes anserinus bursitis leading to knee function recovery and satisfactory clinical outcomes.

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  • 收稿日期:2019-06-12
  • 最后修改日期:2019-06-12
  • 录用日期:2019-07-15
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