Yang C Y, Cheng S C, Shen C L
Department of Orthopaedics, National Cheng Kung University Medical Center, Tainan, Taiwan, Republic of China.
Arthroscopy. 1993;9(4):425-30. doi: 10.1016/s0749-8063(05)80317-2.
Four irrigation solutions, two for general arthroscopic examination and two for electrosurgery, were evaluated for their effects on the ultrastructure of the articular cartilage surface using an animal model with a scanning electron microscope (SEM). The murine knee joints were irrigated continuously for 1 or 2 h with normal saline, Ringer's lactate, 3% sorbitol, or distilled water, respectively. The articular cartilage of the patella was evaluated in situ; that is, the cartilage was kept intact as it related to the underlying bone tissue, so that artifacts during the biopsy procedure could be prevented. Results of the study showed no significant differences among the four solutions and the unirrigated control group. We conclude that Ringer's lactate, normal saline, distilled water, and 3% sorbitol can all be safely used as irrigation solutions in arthroscopic surgery.
使用扫描电子显微镜（SEM）的动物模型，评估了四种冲洗液（两种用于一般关节镜检查，两种用于电外科手术）对关节软骨表面超微结构的影响。分别用生理盐水、乳酸林格氏液、3%山梨醇或蒸馏水对小鼠膝关节连续冲洗1或2小时。对髌骨的关节软骨进行原位评估；也就是说，软骨与下方的骨组织保持完整，从而可以防止活检过程中出现伪像。研究结果表明，这四种冲洗液与未冲洗的对照组之间没有显著差异。我们得出结论，乳酸林格氏液、生理盐水、蒸馏水和3%山梨醇都可以安全地用作关节镜手术中的冲洗液。
