[1]黄彰,殷浩,谢杰,等.关节镜下钬激光治疗膝关节半月板损伤[J].中国微创外科杂志,2009,09(12):1134-1138.
　Huang Zhang,Yin Hao,Xie Jie,et al.Ho∶YAG Laser Operations Under Arthroscope for Meniscal Injuries[J].Chinese Journal of Minimally Invasive Surgery,2009,09(12):1134-1138.
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关节镜下钬激光治疗膝关节半月板损伤()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年12期
页码:
1134-1138
栏目:
出版日期:
2009-12-31

文章信息/Info

Title:
Ho∶YAG Laser Operations Under Arthroscope for Meniscal Injuries
作者:
黄彰; 殷浩; 谢杰; 王晓陆
安徽医科大学第三附属医院骨3科，合肥230061
Author(s):
Huang Zhang;  Yin Hao;  Xie Jie;  et al.
Department of Orthopedics, Third Affiliated Hospital, An Hui Medical University, Hefei 230061, China
关键词:
关节镜; 膝关节; 钬激光; 半月板损伤
Keywords:
Arthroscopy; Knee; Holmium lasers; Meniscal injury
分类号:
R684
文献标志码:
A
摘要:
目的探讨关节镜下钬激光治疗膝关节半月板损伤的疗效。方法2006年1月～2008年3月在关节镜下用钬激光治疗膝关节半月板损伤31例（瓣状裂11例，横裂8例，桶柄裂6例，纵裂6例），观察手术前后Lysholm膝关节评分及并发症的发生率。结果手术时间25～55 min，平均41 min。术中未发生血管神经损伤及与器械相关的并发症。术后下床时间1～4 d，平均2.1 d。术后切口均一期愈合。31例门诊随访9～28个月，平均14.5月。按照Lysholm膝关节评分法，术前（57±13）分显著低于术后6个月(92±6)分(t=13.61，P=0.00)；优21例，良7例，中3例，优良率 90.3 %（28/31）。结论关节镜下钬激光治疗膝关节内疾病操作简单、方便，创伤小、并发症少，术后康复快，是治疗膝关节半月板损伤的良好选择。
Abstract:
ObjectiveTo evaluate the outcomes of meniscal injures treated by Ho∶YAG laser using arthroscopy.MethodsA total of 31 patients with meniscal injury were treated with holmium∶YAG laser by arthroscopy from January 2006 to March 2008 in our hospital. Among the cases, 11 had flap tear, 8 had horizontal tear, 6 showed buckethandle tear, and 6 were found with longitudinal tear. The pre and postoperative Lysholm score, and compilations in the patients were recorded.ResultsThe operation was completed successfully in all the cases with a mean operation time of 44 min (rang,22-55 min). No injuries to the vessels and nerves occurred in the surgery. The patients got out of bed in 1 to 4 days after the surgery (mean, 2.1 days). All the surgical wounds achieved primary healing. Followup was carried out in the patients for 9 to 28 months (mean, 14.5 months). The patients showed significantly lower Lysholm score at 6 months during the followup than that determined before the operation (92±6 vs 57±13, t=13.61, P=0.00). Among the cases, 21 showed excellent outcomes, 7 were good, and 3 were improved. The rate of excellent and good results was 90.3% (28/31).ConclusionHo∶YAG laser is a safe, simple, and effective tool in cutting menisci under a arthroscope.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：安徽省卫生厅（编号06B066）
更新日期/Last Update: 2014-01-08