摘要
目的:探讨踝关节镜结合中药外洗治疗创伤性踝关节炎的疗效。方法:将40例创伤性踝关节炎患者随机分为治疗组和对照组,每组20例。均行关节镜检查,明确关节内病变状况,并对相应病变行镜下清理术,其中软骨损伤及退变26例,游离体形成3例,撞击综合征11例。治疗组采用踝关节镜结合中药外洗治疗,对照组仅采用踝关节镜治疗。术后采用美国足踝外科学会(AOFAS)后足踝评分表对踝关节功能状况进行评分。结果:两组有效率比较差异有统计学意义(P〈0.05);术后平均随访(14.2±8.4)个月(5-24个月),术后关节功能AOFAS评分治疗组改善为(83.4±11.6)分,对照组改善为(76.7±12.4)分,其中主观评分改善更为明显,差异具有统计学意义(P〈0.05)。结论:踝关节镜结合中药外洗治疗创伤性踝关节炎疗效较好,值得在临床推广。
Objective To explore the ankle arthroscopy combined with external medicine wash treatment of traumatic ankle arthritis wash effect. Methods From March 2008 to March 2013 , treated 40 cases of traumatic ankle arthritis after arthroscopic ankle surgery patients , 16 males and 24 females ; aged 15 to 58 years, mean 32 years . Duration of 2 months to 4 years , with an average of 12 months. The 40 patients were randomly divided into treatment group and control group , 20 cases in each group. Underwent arthroscopic examination, a clear situation of intra - articular lesions , and the corresponding lesion debridement , in which cartilage injury and degeneration in 26 cases, 3 cases of free formation , impingement syndrome in 11 cases. The treatment group received a combination of ankle arthroscopy with external medicine wash treatment, the control group, only the use of ankle arthroscopy . American Orthopaedic Foot and Ankle Society after adoption (AOFAS) score sheet after ankle ankle functional status score. Results The two groups have more efficient significant difference ( P 〈 0. 05 ) ; mean follow - up ( 14. 2 ± 8.4) months ( 5 to 24 months ) , postoperative joint function AOFAS score for the treatment group improved (83.4 ± 11.6) points, improving the control group (76.7 ± 12.4) points, which is more subjective scores improved significantly. Statistical analysis showed that the total score difference was significant ( P 〈 0. 05 ) between the two groups. Conclusion Ankle arthroscopy combined with external medicine wash traumatic ankle arthritis better, worthy of promotion.
出处
《中国民族民间医药》
2014年第12期27-28,共2页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
创伤性踝关节炎
踝关节镜
中药外洗
临床观察
traumatic ankle arthritis
ankle arthroscopy
external medicine wash
clinical observation