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[膝关节造影术在评估半月板切除术干预不良结局中的应用价值]

[Usefulness of arthrography of the knee in assessing the unfavorable outcome from a meniscectomy intervention].

作者信息

Corbetti F, Camposampiero A, Pellicano A, Meneghello A

出版信息

Radiol Med. 1983 Mar;69(3):113-7.

PMID:6836148
Abstract

Knee arthrography was performed in 22 patients suffering from persistent articular symptoms after meniscectomy. In 3 cases a surgically proved tear of the opposite meniscus was assessed. In 4 cases no meniscal tear was found, but 3 out of these patients had a significant anatomic lesion. In 15 cases meniscectomy was found to be incomplete, and a residual posterior horn of the medial meniscus was observed, normal in shape in 7 cases, torn or detached in 8. It is suggested that the persistence of the posterior horn of the medial meniscus after meniscectomy may cause the persistent symptoms; the value of knee arthrography before surgery is emphasized.

摘要

对22例半月板切除术后仍有持续关节症状的患者进行了膝关节造影。其中3例经手术证实对侧半月板撕裂。4例未发现半月板撕裂,但这些患者中有3例存在明显的解剖学病变。15例发现半月板切除术不彻底,观察到内侧半月板后角残留,7例形状正常,8例撕裂或分离。提示半月板切除术后内侧半月板后角残留可能导致症状持续存在;强调术前膝关节造影的价值。

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