摘要
目的观察关节镜下滑膜切除术治疗肘关节类风湿关节炎的临床效果。方法选择肘关节类风湿关节炎患者38例作为研究对象，采用关节镜下滑膜切除术治疗，手术过程中需要多个方向进入关节腔内，对肘关节滑膜进行全面的清扫，彻底清除该腔内的异物。术后随访时间30个月，观察并比较手术前、手术后患者的Mayo肘关节功能以及关节活动度功能评分情况。结果手术后肘关节的疼痛评分（30．12±8．11）分、活动程度（17．01±2．88）分、关节功能（20．67±5．01）分及总评分（73．04±12．01）分，明显高于手术前肘关节的疼痛（3．98±3．89）分、活动程度（9．78±5．02）分、关节功能评分（13．77±3．69）分以及总评分（33．04±10．01）分（t=18．38，P〈0．05；t=7．90，P〈0．05；t=7．01，P〈0．05；t=16．18，P〈0．05）；手术后肘关节活动度的屈曲评分（113．12±15．11）分，明显高于手术前肘关节活动度的屈曲评分的（93．03±19．89）分，差异有统计学意义（t=5．09，P〈0．05）。结论使用关节镜下滑膜切除术治疗肘关节类风湿关节炎，可有效改善患者疾病状况，缓解患者疼痛，增强活动能力，从而使患者逐步恢复至正常生活，可在临床广泛应用与实践。
Objective To study the treatment effect of synovectomy under arthroscope on elbow rheumatoid arthritis. Methods 38 patients with elbow rheumatoid arthritis were selected as the research subjects, received arthroseopie synovial treatment, surgical procedures require more than one direction into the intra- articular, cleaning elbow joint synovial, complete removal of the foreign body cavity. Postoperative follow - up for 30 months, and com- pared the patients＇Mayo elbow performance score and joint activity situation before and after surgery. Results After surgery,Elbow pain score[ （30.12 ±8.11 ）points] ,activity level[ （17.01±2.88） points] ,joint function[ （20.67±5.01 ） points ] and total score [ （73.04± 12.01 ） points ] were significantly higher than the pre - operative [ （ 3.98± 3.89） points, （9.78± 5.02） points, （ 13.77± 3.69） points, （33.04 ± 10.01 ） points ] （ t = 18.38, P 〈 0.05 ; t = 7.90, P 〈0.05 ; t = 7.01, P 〈 0.05 ; t = 16. 18, P 〈 0.05 ）. After surgery, elbow flexion activity score [ （ 113. 12± 15.11 ） points ] was significantly higher than the preoperative flexion elbow activity score [ （ 93.03 ± 19.89 ） points ] （t = 5.09, P 〈 0.05）. Conclusion Treated elbow rheumatoid arthritis by synovectomy under arthroscope could effectively improve the disease status of patients, relieve pain, enhance mobility, allowing patients to gradually return to normal life, and it can be widely used in clinical practice.
出处
《中国基层医药》
CAS
2016年第3期411-414,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
关节炎
类湿病
关节镜
疼痛
Arthritis, Rheumatoid
Arthroscopy
Pain
