单一外侧入路联合中药熏洗治疗肘关节恐怖三联征

Single Lateral Approach Combined with Chinese Medicine Fumigation in the Treatment of Terrible Triad of the Elbow

目的探讨单一外侧入路联合中药熏洗治疗恐怖三联征的临床疗效。方法回顾性分析2020年6月—2022年6月收治的60例患者资料,随机分为治疗组和对照组,每组30例,对照组经手术治疗及术后常规功能锻炼,治疗组在对照组治疗基础上术后2周给予中药熏洗。对比术前、术后第1个月、3个月、6个月的观察指标,包括肘关节屈曲旋转活动度、Mayo肘关节功能评分及并发症发生率。结果在术后第1、3、6个月随访的患者资料显示,治疗组的肘关节活动度、Mayo肘关节功能评分均比对照组改善明显,差异具有统计学意义(P<0.05);治疗组的并发症发生率明显低于对照组(P<0.05);末次Mayo肘关节功能总评分治疗组优良率高于对照组(P<0.05)。结论采用外侧单一入路联合中药熏洗治疗恐怖三联征有利于关节活动改善,并发症减少,值得临床借鉴。

Objective To investigate the clinical efficacy of single lateral approach combined with Chinese medicine fumigation in the treatment of terrible triad of the elbow.Methods The data of 60 patients from June 2020 to June 2022 were retrospectively analyzed and randomly divided into treatment group and control group,with 30 patients in each group.The control group received surgical treatment and routine functional exercise after surgery,and the treatment group was given Chinese medicine fumigation for 2 weeks after surgery.The observation indexes before surgery,1 month,3 months,and 6 months after surgery were compared,including elbow flexion rotation motion,Mayo elbow function score and complication rate.Results The patient data at the 1st,3rd and 6th month postoperative follow⁃up showed that the elbow joint motion and Mayo elbow joint function score of the treatment group were improved compared with the control group,and the difference was statistically significant(P<0.05).The complication rate of the treatment group was significantly lower than that of the control group(P<0.05).The excellent and good rate of the last Mayo elbow joint function score in control group was higher than that in control group(P<0.05).Conclusion The single lateral approach combined with Chinese medicine fumigation in the treatment of terrible triad of the elbow is beneficial to the improvement of joint activity and less complications,which is worthy of clinical reference.