盘状半月板研究现状与进展

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1、授予单位代码10089学号或申请号20153379中国图书分类号R684.2HebeiMedicalUniversity硕士学位论文专业学位盘状半月板研究现状与进展研究生：王奕博导师：邵德成副教授专业：外科学二级学院：第三医院2018年3月目录中文摘要····································································································1英文摘要·································

2、···································································2综述盘状半月板研究现状与进展····················································3参考文献···································································································11致谢······················

3、···················································································16个人简历·································································································17中文摘要盘状半月板研究现状与进展摘要盘状半月板是运动医学科常见的疾病，特别对于儿童及青少年的术后的远期疗效令人难以满意。近半个世纪来随着关节微创技术和M

4、RI检查的广泛应用，大大提高了医生学者们对该病的诊断、治疗、预后、病因等的认识。本文对盘状半月板病因、治疗、诊断等研究现状与进展进行阐述。关键词：盘状半月板，关节镜，微创手术，胫骨，膝关节1英文摘要CurrentresearchandprogressofdiscoidmeniscusABSTRACTDiscoidmeniscusisacommondiseaseinthesportsmedicinedepartment,especiallyforchildrenandadolescents.Inthepasthalfcent

5、ury,withtheextensiveapplicationofjointminimallyinvasivetechniqueandMRIexamination,doctorsandscholarshavegreatlyimprovedtheirunderstandingofthediagnosis,treatment,prognosis,etiologyandsoon.Thepresentsituationandprogressintheresearchandprogressoftheetiology,treatmen

6、tanddiagnosisofdiscoidmeniscusaredescribedinthispaper.Keywords：Discoidmeniscus，Arthroscopicsurgery，Minimalsurgery，Tibial，KneeJoint2综述盘状半月板研究现状与进展盘状半月板是运动医学科重要的、常见的疾病，这种畸形的半月板在人们日常生活中极易损伤，在我院收治的所有半月板损伤患者占有相当大的比例，其患者多为青少年，而没有损伤的盘状半月板不会对人的生活产生任何影响，所以，盘状半月板中的诊断、手术治疗方式

7、对该病的临床预防和治疗研究有着重要的指导意义。1.盘状半月板的概述[1]世界上首例外侧盘状半月板是Young在1889年首次提出和报道。现在全球针对盘状半月板的流行病学调查显示，该疾病根据人种和地域的差异，其发病率相差极大。绝大部分为盘状半月板发生于胫骨平台外侧髁，[2][3]而内侧盘状半月板极其罕见，双膝外侧盘状半月板较为多见。亚洲地区外侧盘状半月板发病率较高，而世界其他区域该病极为罕见，且欧美人[4,5][6]群内侧盘状半月板和双膝外侧盘状半月板的发病率极低。Futuka等[7]报道中日韩为代表的东方人种盘状半月板的发

8、生率约为13%。Ikeuchi研究发现日本人盘状半月板的发病率约为16.6%。有学者研究显示韩国968名无明显症状的膝关节志愿者进行关节镜检查发现膝关节外侧盘状半月板106例（102名患者），发病率约在10.95%，他还发现了其中15例膝关节外侧平台发生解剖学变异，他认为这种增厚的半月板与解剖学变[8]