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目的:探讨关节镜在创伤性膝关节血肿诊治中的作用和临床疗效。方法:2004年9月至2006年8月,采用关节镜治疗创伤性膝关节血肿患者40例40膝,其中男26例,女14例;年龄18~65岁,平均32.2岁。从血肿发生到手术的时间为1~7天,平均3.1天。所有患者术前均行膝关节X线检查,部分患者行核磁共振检查。所有患者均行关节镜下探查,明确诊断并行相应的治疗。结果:本组病例关节镜探查结果为急性髌骨脱位3例、韧带损伤9例、骨及软骨损伤27例、其他损伤1例,合并半月板损伤16例。所有患者均获随访,时间为3~26个月,平均13.2个月,无感染和血肿复发。术后Lysholm评分优32例、良5例、可2例、差1例,优良率92.5%,患者主观满意度达95%。结论:关节镜下诊治创伤性膝关节血肿,具有直观、创伤小、恢复快的特点,可早期确诊并行有效治疗。
Objective: To explore the role of arthroscopy in the diagnosis and treatment of traumatic knee hematoma and its clinical effect. Methods: From September 2004 to August 2006, 40 patients (40 males and 26 females, 14 females) were treated with arthroscopy in the treatment of traumatic knee hematoma. The age ranged from 18 to 65 years with an average of 32.2 years. From hematoma to surgery time is 1 to 7 days, an average of 3.1 days. All patients underwent preoperative knee X-ray examination, some patients underwent magnetic resonance imaging. All patients underwent arthroscopic exploration, a clear diagnosis of the corresponding treatment. Results: The results of arthroscopy in this group were 3 cases of acute patellar dislocation, 9 cases of ligament injury, 27 cases of bone and cartilage injury, 1 case of other injury and 16 cases of meniscal injury. All patients were followed up for 3 ~ 26 months, an average of 13.2 months, no infection and recurrence of hematoma. The postoperative Lysholm score was excellent in 32 cases, good in 5 cases, fair in 2 cases and poor in 1 case, the excellent and good rate was 92.5%, and the patients’ subjective satisfaction was 95%. Conclusion: Arthroscopic diagnosis and treatment of traumatic knee hematoma has the characteristics of visualization, small trauma and rapid recovery, and can be effectively diagnosed early and effectively.