膝关节滑膜皱襞综合征的治疗进展

Progress in Treatment of Synovial Plica Syn-drome of Knee Joint

摘要: 滑膜皱襞综合征是引起膝关节疼痛的常见疾病之一，发病机制已较为明确。现代医学认为其主要与膝关节滑膜皱襞反复受到损伤或刺激相关。由于该病临床症状和影像学表现与其他膝关节疾病相似；诊断“金标准”——膝关节镜属于有创操作，患者接受程度较低；基层医师对其诊疗方案认识不足，故本病常被误诊漏诊，导致患者最终疗效欠佳。近年来对此病的相关研究逐渐增多，研究的关键在于保守治疗与手术治疗的选择。本文以近十年的文献为基础，简述了SPS的发病机制，分析各疗法的机制及现状，主要包括西医的药物治疗、物理治疗方法、中药外治、中医针刺、推拿治疗、手术治疗。通过对滑膜皱襞综合征治疗进展的整理和归纳，为临床制定滑膜皱襞综合征治疗方案提供参考。

Abstract: Synovial plica syndrome is one of the common diseases that cause knee pain, and its pathogenesis has been relatively clear. Modern medicine believes that it is mainly related to repeated injury or stimulation of synovial plica of knee joint. Because the clinical symptoms and imaging manifesta-tions of this disease are similar to other knee joint diseases; The diagnosis “gold standard”—knee arthroscopy is an invasive operation, and the patient’s acceptance is low; Grass-roots doctors have insufficient understanding of its diagnosis and treatment plan, so this disease is often misdiagnosed and missed, resulting in poor final curative effect of patients. In recent years, the related research on this disease has gradually increased, and the key to the research lies in the choice of conserva-tive treatment and surgical treatment. Based on the literature in recent ten years, this paper briefly describes the pathogenesis of SPS, and analyzes the mechanism and present situation of various therapies, including western medicine, physical therapy, external treatment of traditional Chinese medicine, acupuncture, massage and surgery. By sorting out and summarizing the treatment pro-gress of synovial plica syndrome, it provides reference for clinical treatment of synovial plica syn-drome.