Huang Hua-Yang, Yin Qing-Shui, Zhang Ying, Liu Jing-Fa
Department of Orthopaedics, Guangzhou General Hospital, Guangzhou Military Command, Guangzhou 510010, China.
Zhonghua Wai Ke Za Zhi. 2004 Jun 22;42(12):730-2.
To evaluate results of 1310 knees of meniscal treatments by arthroscopy and to present good method of meniscal treatment.
Their age, traumatic mechanism and effects under arthroscopy were analysed in a series of 254 patients with meniscal injuries, there were 880 males and 374 females, the average of the patients was 25.5 years. The meniscal repair in 68 knee, partial meniscectomy in 756 knee, total meniscectomy in 480 knee and conservative treatment in 6 cases.
The patients were followed up 1 to 12 years with the average of 4 years and 3 months. The mean Lysholm score was 86.3 points in arthroscopic meniscal repair, 84.0 points in partial meniscectomy and 76.1 points in total meniscectomy. The mean Lysholm 98.7 points in all children patients with conservative treatment. They showed significant difference (P < 0.01) in the results of three treatments.
Meniscal injuries should not cut off as it, should be repaired in 5 mm from meniscus to synovium and or partial meniscectomy. The general adoption is not the surgical operation on meniscal injuries of the child.
评估关节镜下半月板治疗1310例膝关节的结果，并介绍半月板治疗的良好方法。
分析254例半月板损伤患者的年龄、损伤机制及关节镜下的治疗效果，其中男性880例，女性374例，患者平均年龄25.5岁。半月板修复68例，部分半月板切除术756例，全半月板切除术480例，保守治疗6例。
患者随访1至12年，平均4年3个月。关节镜下半月板修复的平均Lysholm评分为86.3分，部分半月板切除术为84.0分，全半月板切除术为76.1分。所有保守治疗的儿童患者平均Lysholm评分为98.7分。三种治疗结果显示出显著差异（P<0.01）。
半月板损伤不应随意切除，应在距半月板至滑膜5mm处进行修复或部分半月板切除术。一般不采用对儿童半月板损伤进行手术治疗。
