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Arthroscopic management included removing loose bodies, local synovectomy and treatment of degenerative joint diseases.

包括关节镜探查,切除病变滑膜,取出游离体,对退行性病变进行清理。

According to the different pathological changes, clearing synovium, biting off or gouging cataplasis cartilage, trimming asperous articular surface and sclerotin surface, stripping hyperplastic osteophyma, drilling under the cartilage to decompress, biting off and gouging injury glenoid labrum, dislodging corpus liberum, lavaging articular cavity with physiological saline and other therapeutic tools were applied.

根据不同病变情况,镜下采取清理滑膜、咬除或刨削退变的软骨、修整不平的关节面和骨质面、磨除增生的骨赘、软骨下微钻孔减压、咬除并修整损伤盂唇、取出游离体、生理盐水灌洗关节腔等治疗手段。

[Objective]To research the method, curative effect and indications of applying arthroscopy to treat hip disease, and investigate the valuation of arthroscopy on hip disease.[Method]Totally 103 patients (129 hips) were treated with arthroscopy by corresponsive modus operandi according to different pathogenetic conditions from Oct.2001 to Jan. 2007. Among the total cases, 50 hips were osteonecrosis of the femoral head; 8 hips were traumatic hip arthritis; 34 hips were hip osteoarthritis; 9 hips were pigmented villonodular synovitis; 12 hips were hip arthritis of ankylosing spondylitis; 6 hips were chronic synovitis; 6 hips were acetabular labrum injury; 2 hips were hip joint corpus liberum; 2 hips were coxarthropathy with indefinite reasons.

[目的]研究髋关节镜治疗髋关节疾病的方法、疗效及适应证,探讨关节镜在髋关节疾病中的临床价值[方法]2001年10月~2007年1月,采用髋关节镜手术治疗103例(129髋)髋关节疾病,其中股骨头坏死50髋;创伤性髋关节炎8髋;髋关节骨性关节炎34髋;色素沉着绒毛结节性滑膜炎9髋;强脊性髋关节炎12髋;慢性滑膜炎6髋;髋关节盂唇损伤6髋;髋关节游离体2髋;不明原因髋痛2髋。

Methods selective and limited minimally invasive debridement under arthroscope was applied to 54 patients with osteoarthritis of knee joint; hyperplasia of inflammatory synovial membrane and abrasion of anterior cruciate ligament were chipped or vaporized with radiofrequency, the corpus liberum were taken out, cartilage was scoured into certain shape; excision or partial excision were performed to hyperplastic intercondyloid spine, osteophyma and menisci; intercondyloid fossa was formed.results 45 cases were followed up for an average of 18 months (from 6 months to 24 months); the clinical symptoms of most cases released obviously and the joint function improved.conclusions minimally invasive debridement under arthroscope can effectively release oa symptoms, improve joint function and raise the quality of life.

对54例膝关节骨性关节炎患者进行关节镜下选择性、有限化微创清理术。手术内容包括刨削或射频汽化增生的炎性滑膜组织和前交叉韧带磨损、游离体取出、软骨打磨成形、增生髁间棘切除、部分骨赘切除、半月板部分切除、髁间窝成形。结果随诊45例,平均18个月(6~24月),大多数患者临床症状明显缓解,关节功能改善。结论关节镜微创清理术可有效缓解oa症状,改善关节功能,提高生活质量。骨关节炎;膝关节;关节镜检查

Knee anterior median incision and medial patellar approach was applied, and anterior and posterior cruciate ligaments were excised during the surgery, osteophyma and corpus liberum of posterior articular capsule were cleared.

采用膝前正中切口和内侧髌旁入路,术中切除前后交叉韧带,清理后关节囊骨赘生物及游离体

The natural history of loose bodies in synovial joints is slow enlargement with deposition of additional surface layers.

游离体的形成是一个慢慢的,逐层沉积的过程。

Methods 65 cases(74 knee) of senile osteoarthritis of the knee were debrided under arthroscopy with local anesthesia.The procedures included removal of hyperplastic membrance and raw surface of degenerated cartilage,repairing the meniscus,and reshaping of the intercondylar fossa.

对65例(74膝)膝关节骨性关节炎患者采用局麻下行关节清理术,手术清理增生炎性滑膜,清理退变剥脱的软骨及打磨软骨创面,修整损伤半月板,取出关节内游离体、碎骨屑及炎性介质,髁间窝成形术解除撞击及磨损前交叉韧带。

Abstractive】 objective to investigate the diagnostic superiorty and therapeutic efficiancy of arthroscopic debridement for the osteoarthritis of the knee.methods 65 cases(74 knee) of senile osteoarthritis of the knee were debrided under arthroscopy with local anesthesia.the procedures included removal of hyperplastic membrance and raw surface of degenerated cartilage,repairing the meniscus,and reshaping of the intercondylar fossa.results 55 cases(67 knee) were followed up for 20 months in average.the pain was relieved and the function of the knee joint was restored in most patients.

目的 探讨关节镜下清理术治疗骨性关节炎的诊断价值及治疗效果。方法对65例(74膝)膝关节骨性关节炎患者采用局麻下行关节清理术,手术清理增生炎性滑膜,清理退变剥脱的软骨及打磨软骨创面,修整损伤半月板,取出关节内游离体、碎骨屑及炎性介质,髁间窝成形术解除撞击及磨损前交叉韧带。结果随诊55例(67膝),随访时间6~42个月,平均20个月,多数患者临床症状消失或者疼痛症状减轻,关节功能明显改善。

However if the loose body becomes trapped and reattaches to the synovium it is then generally reabsorbed.

然而,如果游离体被卡或附着在滑膜上,一般都会被吸收。

Howeer, if the loose body becomes trapped and reattaches to the synoium, it is then generally reabsorbed.

然而,如果游离体被卡或附着在滑膜上,一般都会被吸收。

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