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微创骨科手术:关节镜检查。

Minimally invasive orthopedic surgery: arthroscopy.

作者信息

Treuting R

机构信息

Department of Surgery, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, LA.

出版信息

Ochsner J. 2000 Jul;2(3):158-63.

Abstract

Arthroscopy, a minimally invasive alternative to standard open surgical techniques and now the most commonly performed orthopedic surgical procedure, was one of the greatest advances in orthopedic surgery of the 20(th) century. Minimally invasive surgeries result in less postoperative swelling than open techniques and reduce pain, risk of complications, and recovery times. Arthroscopy has evolved from a diagnostic tool to a therapeutic tool capable of treating a wide range of injuries and disorders. Many injuries, particularly those that at one time would have been career ending for athletes, can now be addressed with arthroscopy allowing a quicker return to full function. While arthroscopy has resulted in an overall decrease in morbidity compared with open techniques, it is still an invasive procedure and inherently involves risks. Almost all arthroscopic procedures can be performed in an outpatient setting. In 1999, 211 arthroscopic procedures were performed at Ochsner.

摘要

关节镜检查是标准开放性手术技术的一种微创替代方法,也是目前最常施行的骨科手术,它是20世纪骨科手术领域最重大的进展之一。微创手术术后肿胀程度低于开放手术技术,还能减轻疼痛、降低并发症风险并缩短恢复时间。关节镜检查已从一种诊断工具发展成为一种能够治疗多种损伤和病症的治疗工具。许多损伤,尤其是那些曾经会导致运动员职业生涯终结的损伤,现在都可以通过关节镜检查进行治疗,从而能更快地恢复到完全功能状态。虽然与开放手术技术相比,关节镜检查总体上降低了发病率,但它仍是一种侵入性手术,本身存在风险。几乎所有关节镜手术都可以在门诊进行。1999年,奥施纳医院进行了211例关节镜手术。

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