关节镜下治疗肘关节骨性关节炎的效果分析

Effectiveness analysis of arthroscopic treatment for elbow joint osteoarthritis

目的观察关节镜下治疗肘关节骨性关节炎的效果。方法选择收治的31例肘关节骨性关节炎患者,均采用关节镜技术进行治疗,观察手术前后活动范围情况,记录手术前、术后3个月、术后6个月时患者最大屈曲度和最大伸直度;采用Mayo评分系统对比术后3个月、术后6个月的疗效。结果所有患者均顺利完成手术,切口均Ⅰ期愈合。所有患者均获得随访,随访时间为6~12个月,平均8.5个月。术后3个月、术后6个月时两组疗效比较差异无统计学意义（P〉0.05）。术前、术后3个月、术后6个月时的最大屈曲度、最大伸直度、Mayo评分比较差异均有统计学意义（P〈0.01）,术后3个月、术后6个月时的最大屈曲度、最大伸直度、Mayo评分较术前显著改善（P〈0.01）,术后3个月、术后6个月时的最大屈曲度、最大伸直度、Mayo评分比较差异无统计学意义（P〉0.05）。术后均未出现明显的并发症,无术后血管神经损伤发生。结论关节镜手术是治疗肘关节骨性关节炎的有效方法,能明显改善术后肘关节功能,安全性高,值得临床推广。

Objective To observe the effectiveness of arthroscopic treatment for elbow joint osteoarthritis.Methods 31 patients with elbow joint osteoarthritis were treated by arthroscopic technique.Range of motion（ ROM） before and after treatment were compared.Maximum flexibility and straightness before surgery,3 months and 6 months after surgery were recorded.In addition,Mayo scoring system was applied to compare effectiveness 3 months and 6 months after surgery.Results The operation was completed successfully in all patients,and incisions healed in the first intention.All cases were followed up for 6 to12 months（ mean 8.5 months）.Difference of effectiveness 3 months and 6 months after surgery was not statistically significant（ P〉0.05）.Difference of maximum flexibility and straightness before surgery,3 months and 6 months after surgery as well as Mayo score was statistically significant（ P〈0.01）.Maximum flexibility and straightness 3 months and 6 months after surgery as well as Mayo score significantly improved,and difference was not statistically significant（ P〉0.05）. No obvious complications and neurovascular damage were found after operation.Conclusion Arthroscopic operation is an efficacy method in the treatment of elbow joint osteoarthritis,which can obviously improve the elbow joint functions with high security.Thus,it is worthy of clinical application.