Kieser C, Rüttmann A
Schweiz Med Wochenschr. 1976 Nov 20;106(47):1631-7.
The clinical usefulness of arthroscopies of the knee joint has been evaluated on the basis of 282 examinations. The procedures were performed under general anesthesia with sterility precautions as for arthrotomy. In nearly all cases, direct observation of articular surfaces, synovial membranes and the menisci of the ventral two thirds of the joint was possible. The dorsal recessus, the posterior third of medial meniscus, the posterior cruciate and Baker's cyst could not be inspected. The diagnostic accuracy of arthroscopy was compared with that of double contrast arthrography. The results are as follows: incipient degenerative lesions of articular cartilage, especially chondromalacia of patella, and dislocated bucket handle tears of menisci are more accurately diagnosed by arthroscopy. For other meniscal lesions double contrast arthrography provides better results. - Arthroscopy allows the taking of synovial biopsies in cases of chronic synovitis. However, the results of histological examination are rarely of decisive value, though undetected lesions of articular cartilage have been frequently brought to light.
基于282例检查评估了膝关节镜检查的临床实用性。手术在全身麻醉下进行，采取与关节切开术相同的无菌预防措施。几乎在所有病例中，均可直接观察关节表面、滑膜以及关节前三分之二的半月板。关节背侧隐窝、内侧半月板后三分之一、后交叉韧带和贝克囊肿无法检查。将关节镜检查的诊断准确性与双重对比关节造影的诊断准确性进行了比较。结果如下：关节软骨的早期退行性病变，尤其是髌骨软骨软化症，以及半月板桶柄状撕裂脱位，通过关节镜检查能更准确地诊断。对于其他半月板病变，双重对比关节造影效果更佳。——在慢性滑膜炎病例中，关节镜检查可进行滑膜活检。然而，组织学检查结果很少具有决定性价值，尽管经常能发现未被检测到的关节软骨病变。
