[1]李艺彬,朱勇,吴昭克.关节镜下多入路全关节滑膜清理术治疗肘关节类风湿关节炎[J].中医正骨,2015,27(11):56-58.
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关节镜下多入路全关节滑膜清理术治疗肘关节类风湿关节炎()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年11期
页码:
56-58
栏目:
临床报道
出版日期:
2015-11-30

文章信息/Info

作者:
李艺彬朱勇吴昭克
福建省泉州市正骨医院,福建 泉州 362000
关键词:
关节炎类风湿 肘关节 关节镜检查 滑膜清理术
摘要:
目的:观察关节镜下多入路全关节滑膜清理术治疗肘关节类风湿关节炎的临床疗效和安全性。方法:2010年10月至2014年6月,采用关节镜下多入路全关节滑膜清理术治疗肘关节类风湿关节炎患者27例,男3例、女24例。年龄22~56岁,中位数36岁。左侧12例,右侧15例。所有患者均有不同程度的肘关节疼痛和晨僵,肘关节肿胀26例。病程9个月至5年,中位数2年。术后随访观察肘关节疼痛改善、功能恢复及并发症发生情况。结果:所有患者均获得随访,随访时间3~6个月,中位数4个月。肘关节疼痛视觉模拟评分由术前(5.8±1.6)分降至术后1个月(1.8±1.4)分。术后1个月,按照改良Mayo肘关节功能评分标准评价疗效,优19例、良7例、差1例。均无感染、神经血管损伤等并发症发生。结论:采用关节镜下多入路全关节滑膜清理术治疗肘关节类风湿关节炎,创伤小,能够有效缓解关节疼痛,有利于肘关节功能的恢复,并发症少,值得临床推广应用。

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备注/Memo

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