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Knee arthroscopy

Return to normal, up and down stairs without being difficult; difference: pain, swelling, and no improvement in motor function or worse. The group followed up 51 patients (57 knees), when asked for the 1.5 years. Good in 22 cases (24 knees), accounting for 42. II%; can still 2I patients (23 knees), accounting for 4O35%; poor in 8 cases (IO knee). Discussion of accounting I7.54% 2 2. L arthroscopic lesions of osteoarthritis accurate understanding of the scope and extent of the I6 patients with a preoperative group had no typical x-ray findings, but clinical manifestations of osteoarthritis, arthroscopy confirmed degenerative changes in cartilage, synovial hyperplasia and the suprapatellar bursa with more white floc exist. On the contrary,[link widoczny dla zalogowanych], some patients x-ray films showed osteophyte formation or joint space narrowing, and mild or asymptomatic clinical presentation, exclusion of x ray data of studies have shown that: x-ray films may have proliferative changes of about half of the total population, of which only A small part of the future occurrence of arthritis J. So. Can not simply rely on x-ray film to determine the severity of osteoarthritis. Obvious clinical symptoms of osteoarthritis patients, arthroscopy can clearly show the pathological changes of the knee patients, diagnosed,[link widoczny dla zalogowanych], provide a reliable basis for further treatment. 2.2 The treatment of articular cartilage fragments can stimulate synovial tissue inflammation and joint effusion. Increased the enzyme activity in synovial tissue, causing increased fragility of cartilage, ulcers, and a color 【5. Arthroscopic debridement, through the plane, cut, cut, clamp and other operations. Normal saline at the same time continuing surgery to remove cartilage fragments or free falling bodies, necrotic tissue debris, fragments of the meniscus,[link widoczny dla zalogowanych], proliferation Endoscopic Volume 6, 7, left bit of the gallbladder case report of laparoscopic cholecystectomy in Luohu Shenzhen archery Hospital cavity I8001) Luo Jian Huang Kun Chi aged Keywords Keywords R65744 filament according to hospital line of laparoscopic cholecystectomy (LC) l were found during operation of patients with left bit gallbladder, and the successful completion of LC surgery, are reported as follows. 1 Clinical data and methods of men and 53 years old. Because of recurrent upper abdominal pain, bloating,[link widoczny dla zalogowanych], discomfort 6 months hospital-based plaintiff. Denied a history of jaundice, no fever chills, no nausea and vomiting. Examination: Xiphoid deep tenderness, no rebound tenderness and muscle tension. Does not touch abnormal mass. The indicators showed normal blood count, chest, abdomen were normal perspective, EKG normal, B-us tips slightly increased gallbladder, seems to be separated from the wall due to smooth over the gallbladder can be seen with the light echo groups, greatest long diameter of about 1.2cm, the location does not suggest the abnormal gallbladder. Preoperative diagnosis: cholelithiasis, chronic cholecystitis. Laparoscopic cholecystectomy, the conventional four-point method by LC into the microscope, they found the liver, stomach, intestines were normal anatomic position, the liver edge and the omentum and colon, which are more adhesion. After separation of adhesions, in the right liver, gallbladder still can not find the next, carefully wrapped in isolated adhesion Careful dissection of its wall around the extension of tissue adhesions, and finally fully reveal the whole picture of the left bit Gallbladder: gallbladder body found in the liver round ligament of the Ministry of gallbladder attached to the left hepatic left lateral lobe in the dirty surface. Proposed first by way of conventional LC separation of the tubular handle triangle structure, but found that the First, identify and clipping the cystic artery, and then press the retrograde approach, gradually ectopic gallbladder from the gallbladder bed free down to the gradual separation of the cystic duct, common bile duct to further confirm the relationship and after clipping and cut off the cystic duct. The surgery goes well, no active bleeding, a complete separation of the gallbladder, bile seamless. 3d after discharge. 2 to discuss the report gallbladder is located to the left of falciform ligament, because the anatomical location of the exception, the triangle often have different anatomical relationship between the changes. Do not rush to surgery for Retrograde excision of the case to confirm that the tube is remitted Yuduan the cystic duct common bile duct, and no other aberrant bile ducts before breaking the pipe, the pipe to prevent the accidental injury of other malformations. Left bit gallbladder patients had no clinical symptoms of specificity, the performance under the xiphoid pain, clinical manifestations alone is difficult to suggest the anatomical structure of the exception. B-us, CT and other imaging is not difficult to diagnose. The case of preoperative B-us checks not effectively prompted some regret. If these bits of preoperative examination revealed left gallbladder, intravenous method should be further done cholangiography. Walk the line clear direction of the common bile duct, so that the first 12 patients, there are several, and even the location of the puncture site surgery should be adjusted accordingly in order to surgical operation more convenient. Surgery, in the clamor on the original anatomic gallbladder could not be found, especially when the liver under the adhesion is higher, except for the left position should pay attention to the gallbladder.

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