腕关节镜治疗PalmerⅠB型三角纤维软骨复合体损伤的近期疗效观察

Observation of short-term clinical efficacy of wrist arthroscopy in the treatment of Palmer ⅠB triangular fibrocartilage complex injury

目的 观察腕关节镜下修复治疗PalmerⅠB型三角纤维软骨复合体(TFCC)损伤的近期疗效.方法 选取2016年3月至2017年1月成都中医药大学附属医院收治的PalmerⅠB型TFCC损伤患者12例,其中男5例,女7例,平均年龄38.5岁,通过查体及影像学检查明确诊断后,充分术前准备,在腕关节镜下行镜下修复术.采用视觉模拟评分法( VAS)评分和改良Mayo腕关节功能评分评价患者术后6个月的临床疗效.结果 12例患者手术顺利,术后均无并发症,均得到随访,VAS评分术前为(4.08 ±0.90)分,术后6个月为(1.33 ±0.88)分,两者差异有统计学意义( t =8.37,P =0.000 ).改良 Mayo 腕关节功能评分术前为(48.33 ±7.48)分,术后6个月为(87.91 ±5.41)分,两者差异有统计学意义(t=12.05,P=0.000).结论 腕关节镜下修复治疗PalmerⅠB型TFCC损伤创伤小,恢复快,临床近期疗效满意.

Objective To observe the short-term clinical efficacy of wrist arthroscopy in the treatment of Palmer ⅠB type triangular fibrocartilage complex ( TFCC) injury.Methods From March 2016 to January 2017, 12 patients with Palmer ⅠB TFCC were admitted to the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,including 5 males and 7 females,with an average age of 38.5 years.After examination and imaging exami-nation,the diagnosis was confirmed.After full preoperative preparation , the patients underwent arthroscopic repair under wrist arthroscopy.The VAS score and modified Mayo wrist joint function score before and after surgery were tested to evaluate the clinical efficacy after 6 months.Results Twelve patients underwent successful operation and with no postoperative complications.The patients were followed up.The VAS scores before and after surgery were (4.08 ±0.90)points and (1.33 ±0.88)points,respectively,the difference was statistically significant (t=8.37,P=0.000).The modified Mayo wrist joint function scores were (48.33 ±7.48)points and (87.91 ±5.41)points before and after surgery,and the difference was statistically significant ( t=12.05,P=0.000).Conclusion Arthroscopic repair of Palmer Ⅰb type TFCC has less trauma and quick recovery ,and the clinical short-term result is satisfactory.