McGinty J B, Matza R A
J Bone Joint Surg Am. 1978 Sep;60(6):787-9.
In 228 knees submitted to arthrotomy following arthroscopy, there were eleven diagnostic errors in those knees examined under general anesthesia and five diagnostic errors in those knees examined under local anesthesia with a diagnostic accuracy of 91.1 and 95.2 per cent, respectively. Therefore, we concluded that accuracy is not diminished by performing arthroscopic examinations under local anesthesia on ambulatory out-patients. In 297 knees examined under local anesthesia, no complications were encountered. In 282 knees examined under general or spinal anesthesia, there was one pulmonary embolus and two significant hemarthroses. Except when there are specific overriding considerations, local anesthesia is preferable in the performance of diagnostic arthroscopy.
在228例关节镜检查后接受关节切开术的膝关节中，全身麻醉下检查的膝关节有11例诊断错误，局部麻醉下检查的膝关节有5例诊断错误，诊断准确率分别为91.1%和95.2%。因此，我们得出结论，在门诊患者中采用局部麻醉进行关节镜检查不会降低准确性。在297例接受局部麻醉检查的膝关节中，未出现并发症。在282例接受全身麻醉或脊髓麻醉检查的膝关节中，有1例发生肺栓塞，2例出现严重关节积血。除非有特定的优先考虑因素，在进行诊断性关节镜检查时，局部麻醉更为可取。
