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[儿童膝关节创伤后关节积血。关节镜检查的作用]

[Post-traumatic hemarthrosis of the knee in children. Role of arthroscopy].

作者信息

Cazeneuve J F, Collet L M, Renaud C, De Flamesnil C

机构信息

Service de Chirurgie Pédiatrique, CHU d'Amiens.

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1991;77(4):249-51.

PMID:1833791
Abstract

The results of a method in treating the post-traumatic hemarthrosis of the knee in children have been analyzed in a retrospective study covering 31 cases. In the presence of obvious initial lesions (11 cases) arthroscopy has had an only therapeutic function in three cases. In the absence of obvious initial lesions (20 cases) from afar, and without any prejudice on the final result, arthroscopy, if it has only been performed 13 times, has been therapeutic in seven cases. Once a routine way in surgery, in our experience it is justified in only half of the cases. Its diagnosis and therapeutic indications in children can, on our part, be limited and depend on a previous and very accurate examination followed by a careful and sustained treatment afterwards.

摘要

一项回顾性研究分析了治疗儿童创伤后膝关节积血的一种方法的结果,该研究涵盖31例病例。在存在明显初始损伤的情况下(11例),关节镜检查仅在3例中具有治疗作用。在无明显初始损伤的情况下(20例),从长远来看,且对最终结果无任何不利影响,关节镜检查虽仅进行了13次,但在7例中具有治疗作用。关节镜检查曾是手术中的常规方法,但根据我们的经验,仅在一半的病例中是合理的。就我们而言,其在儿童中的诊断和治疗指征可能有限,且取决于先前非常准确的检查以及随后仔细且持续的治疗。

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