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目的评价关节镜下肘关节松解术治疗军事训练伤致肘关节僵硬的临床疗效。方法回顾性分析作者科室2013-10/2016-08月因军事训练伤致肘关节僵硬需行松解术的军人28例,所有病例均接受关节镜下肘关节松解术治疗,术后辅以手法松解,配合镇痛及康复理疗锻炼。对比手术前、后的活动度,应用Mayo评分系统进行疗效评价。结果术后随访6~9(8.4±1.3)个月,术前肘关节平均最大屈曲角度为(86.5±5.2)°、伸直角度为(34.7±4.7)°、旋前角度为(76.4±5.5)°、旋后角度为(67.1±5.4)°,与术后的最大屈曲角度(125.4±5.6)°、伸直角度(5.1±1.2)°、旋前角度(80.6±4.3)°、旋后角度(80.4±4.4)°比较差异均有统计学意义(P<0.05)。肘关节Mayo评分,手术前平均为(60.9±4.4)分,手术后平均为(87.1±5.1)分,手术前后比较差异有统计学意义(P<0.05)。结论肘关节镜松解术作为微创手术,具有创伤小、恢复快、术野清晰及松解彻底等优点,术后肘关节活动度明显改善,在军事训练伤致肘关节僵硬的治疗中具有显著疗效。
Objective To evaluate the clinical effect of elbow arthrodesis in the treatment of elbow stiffness caused by military training injuries. Methods A retrospective analysis of the author department in 2013 - 10 / 2016-08 months due to military training injury caused by elbow stiffness need to release the operation of the military in 28 cases, all cases were under arthroscopic elbow arthroplasty, postoperative adjuvant Release method, with pain relief and rehabilitation physiotherapy exercise. Before and after surgery, the degree of activity, the application of Mayo scoring system evaluation. Results The average maximum flexion angle of the elbow joint was (86.5 ± 5.2) °, the extension angle was (34.7 ± 4.7) ° and the pronation angle was (76.4 ± 5.5) (67.1 ± 5.4) ° and the maximum flexion angle (125.4 ± 5.6) °, the extension angle (5.1 ± 1.2) ° and pronation angle (80.6 ± 4.3) °, Angle (80.4 ± 4.4) ° difference was statistically significant (P <0.05). The Mayo score of the elbow joint was 60.9 ± 4.4 before surgery and 87.1 ± 5.1 after the surgery. The difference was statistically significant before and after surgery (P <0.05). Conclusion The elbow arthroscopic release as a minimally invasive surgery has the advantages of less trauma, faster recovery, clear operative field and complete release. The elbow mobility after operation is obviously improved, which has the following advantages in the treatment of elbow joint stiffness caused by military training: Significant effect.