关键词: 膝关节;骨关节病;关节镜

    摘 要:目的 通过对79例84膝骨关节病的关节镜诊断治疗回顾性总结，探讨高效率、创伤小、疗效佳的方法. 方法 采用关节镜微创技术，结合术前检查对膝骨关节病分为:软骨破坏型，滑膜类型，游离体型及半月板型，依此施行有针对性，局限化手术治疗. 结果 69膝得到6mo～3a的随访，按膝关节综合评分表评分，优20%，良59%，可和差21%. 结论 该方法具有创伤小、康复快、并发症少等优点.在病损严重的病例，全膝置换或截骨术是进一步提高总体疗效的适宜选择.

    Arthroscopic diagnosis and treatment of gonarthro┐sis

    ZHANG Chun-Li LI Ming-Quan LI Li-Wen SUN Liang LI Yu-Min

    1 Institute of Orthopaedics of Chinese PLA，Xijing Hospital，Fourth Military Medical University，Xi'an710033，China，

    2 Department of Orthopaedics，Weinan District Hospital

    Keywords:gonarthrosis;knee joint;arthroscopy

    Abstract:AIM To find out an efficient，less trauma and best outcome procedure for arthroscopic treatment of go┐narthrosis.METHODS 79cases of gonarthrosis(84joints)were bascially divided into four types:cartilage lesion，syn-ovitis，loose body and menisci tears by the combination of preoperative physical examination and arthroscopy.The man-agement was aimed and localized according to the different types.RESULTS Clinical outcomes of69joints were excel-lent:20% ......