摘要
目的对非运动员患者肘骨关节病进行关节镜清理手术，评估其临床治疗效果。方法1999年1月-2006年1月，我所对26例非运动员患者肘骨关节病施行关节镜清理手术。其中23例随访4—86个月，平均23个月。23例均有肘关节疼痛，伸屈范围受限，4例有尺神经炎症状。结果术后20例（87％）肘疼痛消失或仅有轻微疼痛，3例（13％）肘仍有中等程度疼痛。肘关节平均活动范围从术前的99．6°（65°～135°）提高到术后的122．1°（80°-150°）。按Mayo肘关节评分标准，优16例，良4例，中3例，优良率87％。3例尺神经炎症状消失，另1例尺神经炎症状存在，但无加重。患者非常满意14例，满意6例，不满意3例，满意率为87％。术后1例迟发性尺神经炎。结论肘关节镜清理手术是治疗非运动员肘骨关节病的有效方法，可以明显缓解肘关节疼痛，一定程度上改善关节活动范围，术后可以早期康复。
Objective To assess the effectiveness of arthroscopic debridement techniques for osteoarthrosis of the elbow in nonathlete patients. Methods Twenty-six nonathlete patients with elbow osteoarthrosis were treated with arthroscopic debridement from January 1999 to January 2006. Of the 26 patients,23 were followed for 4 - 86 months （ mean,23 months）. All of the 23 patients had complained of pain and loss of elbow motion and 4 patients had symptoms of ulnar neuritis. The Mayo Elbow Performance Score was used as evaluation criteria of the efficacy. Results Twenty-three patients were followed for 4 - 86 months （ mean, 23 months ）. Twenty elbows （87%） were not painful or were only mildly painful, and three （13%） were moderately painful. The mean arc of flexlon-extension was improved from 99.6° （range, 65° - 135°） preoperatively to 122.1 ° （range, 80° - 150°） at the time of followup. According to the Mayo Elbow Performance Score, the result was excellent in 16 elbows, good in 4, and fair in 3, with a rate of excellent or good results of 87%. Symptoms of ulnar neuritis disappeared in the 3 patients and continued without aggravation in the remaining 1 patient. Fourteen patients were greatly satisfied with the results, 6 satisfied, and 3 unsatisfied, the satisfactory rate being 87%. One patient reported a delayed ulnar nerve symptoms after operation. Conclusions Arthroscopic debridement techniques for elbow osteoarthrosis in nonathlete patients can yield satisfactory pain relief, significant increase in the range of motion, and quick recovery.
出处
《中国微创外科杂志》
CSCD
2007年第2期165-167,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
非运动员
肘骨关节病
关节镜
关节清理
Nonathlete
Elbow osteoarthrosis
Arthroscopy
Joint debridement
