發(fā)布時(shí)間：2018-08-22 19:26

【摘要】：目的:探討關(guān)節(jié)鏡下囊內(nèi)改良清理術(shù)治療創(chuàng)傷性髕前滑囊炎的方法及療效。方法:2013年2月~2015年6月,采用關(guān)節(jié)鏡下囊內(nèi)清理術(shù)治療髕前滑囊炎12例,其中男10例,女2例。在關(guān)節(jié)鏡監(jiān)視下,先用椎板刮匙地毯式搔刮滑囊前后壁滑膜層,再利用刨削器進(jìn)行徹底清理,沖洗止血后,局部加壓包扎,術(shù)后伸膝位石膏固定2周,2周后行膝關(guān)節(jié)屈伸功能鍛煉。結(jié)果:術(shù)后隨訪12例,隨訪時(shí)間2~24個(gè)月,所有病例均無感染及復(fù)發(fā),無局部皮膚感覺障礙,無膝關(guān)節(jié)功能障礙。結(jié)論:利用關(guān)節(jié)鏡下囊內(nèi)清理術(shù)治療髕前滑囊炎,方法簡(jiǎn)單、經(jīng)濟(jì),療效確切,并發(fā)癥少。
[Abstract]:Objective: to investigate the treatment of traumatic prepatellar bursitis by arthroscopic intracapsular modified debridement. Methods: from February 2013 to June 2015, 12 cases of prepatellar bursitis were treated with arthroscopic intracapsular debridement, including 10 males and 2 females. Under arthroscopic surveillance, the synovium layer of the anterior and posterior wall of the skid sac was first scratched with a laminar curette, then thoroughly cleaned up by a planer, then washed and stopped bleeding, then locally pressurized and bound. Knee flexion and extension function were performed after 2 weeks of plaster fixation. Results: 12 cases were followed up for 2 ~ 24 months. There was no infection or recurrence, no local dermatosensory disturbance and no knee joint dysfunction. Conclusion: the treatment of prepatellar bursitis by arthroscopic intracapsular debridement is simple, economical, effective and less complication.
【作者單位】： 成都軍區(qū)總醫(yī)院骨科;

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