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[1]李藝彬,朱勇,吳昭克.關(guān)節(jié)鏡下多入路全關(guān)節(jié)滑膜清理術(shù)治療肘關(guān)節(jié)類風(fēng)濕關(guān)節(jié)炎[J].中醫(yī)正骨,2015,27(11):56-58.
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關(guān)節(jié)鏡下多入路全關(guān)節(jié)滑膜清理術(shù)治療肘關(guān)節(jié)類風(fēng)濕關(guān)節(jié)炎()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年11期
頁碼:
56-58
欄目:
臨床報道
出版日期:
2015-11-30

文章信息/Info

作者:
李藝彬朱勇吳昭克
福建省泉州市正骨醫(yī)院,福建 泉州 362000
關(guān)鍵詞:
關(guān)節(jié)炎類風(fēng)濕 肘關(guān)節(jié) 關(guān)節(jié)鏡檢查 滑膜清理術(shù)
摘要:
目的:觀察關(guān)節(jié)鏡下多入路全關(guān)節(jié)滑膜清理術(shù)治療肘關(guān)節(jié)類風(fēng)濕關(guān)節(jié)炎的臨床療效和安全性。方法:2010年10月至2014年6月,采用關(guān)節(jié)鏡下多入路全關(guān)節(jié)滑膜清理術(shù)治療肘關(guān)節(jié)類風(fēng)濕關(guān)節(jié)炎患者27例,男3例、女24例。年齡22~56歲,中位數(shù)36歲。左側(cè)12例,右側(cè)15例。所有患者均有不同程度的肘關(guān)節(jié)疼痛和晨僵,肘關(guān)節(jié)腫脹26例。病程9個月至5年,中位數(shù)2年。術(shù)后隨訪觀察肘關(guān)節(jié)疼痛改善、功能恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲得隨訪,隨訪時間3~6個月,中位數(shù)4個月。肘關(guān)節(jié)疼痛視覺模擬評分由術(shù)前(5.8±1.6)分降至術(shù)后1個月(1.8±1.4)分。術(shù)后1個月,按照改良Mayo肘關(guān)節(jié)功能評分標準評價療效,優(yōu)19例、良7例、差1例。均無感染、神經(jīng)血管損傷等并發(fā)癥發(fā)生。結(jié)論:采用關(guān)節(jié)鏡下多入路全關(guān)節(jié)滑膜清理術(shù)治療肘關(guān)節(jié)類風(fēng)濕關(guān)節(jié)炎,創(chuàng)傷小,能夠有效緩解關(guān)節(jié)疼痛,有利于肘關(guān)節(jié)功能的恢復(fù),并發(fā)癥少,值得臨床推廣應(yīng)用。

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備注/Memo:
2015-07-25收稿 2015-08-28修回
更新日期/Last Update: 2015-11-30