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目的通过对418例膝关节军事训练损伤患者利用膝关节镜检查、治疗的结果进行分析,指导膝部军事训练损伤的及时诊断及治疗。方法回顾性分析2001年7月—2010年6月行膝关节镜检查治疗的现役军人伤病员共418例,其中男性412例,女性6例;年龄18~36岁,平均21.6岁。受伤原因:行军、越野跑、跨越障碍等损伤289例;器械训练、投弹训练、摔跤、足球、篮球运动等损伤116例;驾驶训练损伤13例。损伤类型:半月板损伤211例,前交叉韧带(ACL)损伤128例,后交叉韧带(PCL)损伤12例,多发韧带损伤22例,膝关节创伤性滑膜炎45例。分析关节镜下所见损伤的种类及治疗效果。结果关节镜下可见418例中前交叉韧带、后交叉韧带损伤及多发韧带损伤共计160例,半月板损伤211例,膝关节滑膜炎45例。术后95%以上病例功能恢复满意,无行走疼痛。结论军事训练致膝关节损伤常见,关节镜明确诊断并及时治疗,可最大限度地避免关节内结构的继发损伤。
OBJECTIVE: To analyze the results of knee arthroscopy and the treatment of 418 military training injuries in knee joint to guide the timely diagnosis and treatment of knee injury in military training. METHODS: A total of 418 active and wounded soldiers from July 2001 to June 2010 undergoing knee arthroscopy were retrospectively analyzed. There were 412 males and 6 females, aged 18-36 years with an average of 21.6 years. Causes of injuries: 289 cases of march, cross-country run, cross obstacles and other injuries; 116 cases of equipment training, bomb training, wrestling, football, basketball and other injuries; 13 cases of driving training injuries. Types of injuries: 211 cases of meniscus injury, 128 cases of anterior cruciate ligament (ACL) injury, 12 cases of posterior cruciate ligament injury (PCL), 22 cases of multiple ligament injuries and 45 cases of traumatic synovitis of the knee. Analysis of arthroscopic lesions seen under the types and treatment effect. Results Arthroscopic examination showed that there were 160 cases of anterior cruciate ligament, posterior cruciate ligament injury and multiple ligament injuries in total, 160 cases of meniscus injury and 45 cases of synovitis of knee joint. More than 95% of postoperative functional recovery satisfactory, no pain walking. Conclusion Military training is common in knee joint injuries. Arthroscopy is a definite diagnosis and timely treatment to avoid the secondary injury of intra-articular structures.