文档介绍：:..膝骨关节病的关节镜诊断治疗作者:张春礼李明全李立文孙梁李玉民【关键词】膝关节关键词:膝关节;骨关节病;关节镜摘耍:目的通过对79例84膝骨关节病的关节镜诊断治疗回顾性总结,探讨高效率、创伤小、,结合术前检查对膝骨关节病分为:软骨破坏型,滑膜类型,游离体型及半月板型,依此施行有针对性,~3a的随访,按膝关节综合评分表评分,优20%,良59%,可和差21%.结论该方法具有创伤小、康复快、并发症少等优点•在病损严重的病例,:gonarthrosis;kneejoint;arthroscopyAbstract:AIMTofindoutanefficient,eprocedureforarthroscopictreatmentofgo-]narthrosis・METHODS79casesofgonarthrosis(84joints)werebasciallydividedintofourtypes:cartilagelesion,syn-oviLis,--lent:20%,good:59%,fairandpoor:21%,prehensiveKneeJointRatingSysteminperiod of fallow-up ranged from6to36months(mean20months).CONCLUSIONAimedandlocalizedarthroscopictechniquehasbeenproventobealesstrauma,earlyrehibilitational-plicationprocedurce:furthermore,totalkneearthroplastyorosteotomymaybeafavorablechoiceforsomeseverecasestoimprovetheoverallresults・0引言骨关节病在老年人群发病率较高,、结构最复杂的重要关节,,84膝骨关节病进行诊治,对其有更新的认识,-03/1999-09共行膝骨关节病关节镜手术79例,84膝,其中男32膝,女52膝,男女比例为1:,年龄41〜77岁(),发病至手术时间3mo〜22a,术前均曾行3mo以上种类繁多的保守治疗,但效果不佳・47%的患者依赖药物才能保持日常活动,11%生活自理困难,84膝术前均摄膝正侧位、部分加摄韻骨切线位X光片,根据X线分期[1],初期38膝,屮期39膝,・2手术方法硬膜外或腰麻或联合麻醉下,大腿根部上充气止血带,按膝部手术消毒铺防水铺山,抬高后不驱血止血带充气,