McGinty J B, Freedman P A
Clin Orthop Relat Res. 1976 Nov-Dec(121):173-80.
Two hundred and twenty-one consecutive arthroscopic examinations of the knee are reviewed to establish diagnostic accuracy based on subsequent arthrotomy and the clinical course in the absence of arthrotomy. One hundred and nine knees showed an arthroscopic accuracy of 89.9 per cent at subsequent arthrotomy. Ninety-five patients who did not have an arthrotomy revealed 73.7 per cent clinical improvement between 9 months and 4 years after arthroscopy. Arthroscopy is a simple diagnostic procedure which, with experience, can be done safely and accuratly with minimal morbidity and, in this series, allowed 33.5 per cent of patients to avoid arthrotomy.
回顾了连续221例膝关节镜检查,以根据随后的关节切开术及未行关节切开术时的临床病程来确定诊断准确性。109例膝关节在随后的关节切开术中显示关节镜检查的准确率为89.9%。95例未行关节切开术的患者在关节镜检查后9个月至4年期间临床改善率为73.7%。关节镜检查是一种简单的诊断方法,凭经验可安全、准确地进行,发病率极低,在本系列研究中,使33.5%的患者避免了关节切开术。