肘关节撞击症关节镜微创治疗临床分析

Minimally invasive arthroscopic treatment of elbow impingement syndrome

目的探讨肘关节镜技术在治疗肘关节撞击症的有效性。方法 2010年2月—2013年10月期间,该科收住的68例采用肘关节镜治疗肘关节撞击症患者,通过相关统计学分析,并采用Mayo评分表对肘关节撞击症术前与术后功能进行评价,观察肘关节撞击症解除情况。结果 68例患者术后全部获得随访,随访6-24个月,平均随访15个月,通过术后肘关节活动度、Mayo肘关节功能评分与术前相比,差异有统计学意义（P〈0.05）。患者术后肘关节肿痛症状消失,肘关节屈伸功能明显改善,运动及生活功能显著提高。结论肘关节撞击症行关节镜治疗的有效性和安全性可靠,可显著改善肘关节功能,是目前治疗肘关节撞击症公认的首选外科治疗方法。

Objective To evaluate the effectiveness of treating elbow impingement syndrome with elbow arthroscopy technique. Methods Sixty-eight patients with elbow impingement syndrome admitted to The First Affiliated Hospital of Anhui Medical University between February 2010 and October 2013 were diagnosed and treated by elbow arthroscopy technique. And all elbows＇ functions were assessed by Mayo assessment before and after surgery. The improvement of elbow function when the elbow impingement was removed was observed. Results All postoperative patients were followed up,with an average of 15 months（6-24 months）. The range of motion and Mayo elbow performance score after surgery had significant differences when compared with those before operation（P〈0. 05）. Postoperative patients＇ elbow swelling and pain had relieved,elbow flexion function had obviously improved and sports and life function had dramatically improved. Conclusions The efficacy and safety of elbow arthroscopy treatment is reliable and can dramatically improve elbow function,which is recognized as the preferred treatment on elbow impingement syndrome.