尺骨茎突截骨术治疗尺骨撞击综合征
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摘要
目的探讨采用尺骨茎突截骨术治疗尺骨撞击综合征的术后效果及对腕关节功能的影响。方法 2016年6月-2018年6月,对23例尺骨撞击综合征患者采用尺骨茎突截骨术,分别记录手术前、后的尺骨高度,使用改良Cooney腕部评定表对术前及术后1年的腕关节功能进行评分。结果术后随访时间8个月-2年,平均1.3年。所有骨折骨性愈合,术后患者尺骨高度得到纠正,腕关节尺侧疼痛得到缓解。改良Cooney腕部功能评分术前(56.7±5.8)分,术后1年(80.9±6.7)分,差异具有统计学意义(t=-20.8,P=0.00)。结论应用尺骨茎突截骨术可纠正尺骨高度,改善腕关节功能,在手术治疗尺骨撞击综合征的预后上起着积极作用。
Objective To explore the postoperative effect of ulnar styloid osteotomy for the treatment of ulnar impact syndrome and its effect on wrist function. Methods From June 2016 to June 2018, ulnar styloid osteotomy was performed in 23 patients with ulnar impact syndrome, and the ulnar height before and after surgery was recorded. The Cooney wrist function scores were observed and recorded before surgery and one year after surgery. Results The postoperative follow-up period ranged from 8 months to 2 years with an average of 1.3 years. The osteotomy end meets the standard of bone healing. The ulnar height was corrected and the ulnar pain was relieved. The Cooney wrist function score was(56.7±5.8) points and 1 year(80.9±6.7) points after surgery. The difference was statistically significant(t=-20.8, P=0.00). Conclusion The use of ulnar styloid osteotomy can correct the ulnar height, ameliorate the wrist joint function, and play an active role in the prognosis of surgical treatment of ulnar impact syndrome.
Objective To explore the postoperative effect of ulnar styloid osteotomy for the treatment of ulnar impact syndrome and its effect on wrist function. Methods From June 2016 to June 2018, ulnar styloid osteotomy was performed in 23 patients with ulnar impact syndrome, and the ulnar height before and after surgery was recorded. The Cooney wrist function scores were observed and recorded before surgery and one year after surgery. Results The postoperative follow-up period ranged from 8 months to 2 years with an average of 1.3 years. The osteotomy end meets the standard of bone healing. The ulnar height was corrected and the ulnar pain was relieved. The Cooney wrist function score was(56.7±5.8) points and 1 year(80.9±6.7) points after surgery. The difference was statistically significant(t=-20.8, P=0.00). Conclusion The use of ulnar styloid osteotomy can correct the ulnar height, ameliorate the wrist joint function, and play an active role in the prognosis of surgical treatment of ulnar impact syndrome.
引文
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[8]李学渊,王扬剑,孙涛,等.尺骨斜形截骨短缩技术结合关节镜治疗尺骨撞击综合征[J].中华手外科杂志,2014,30(3):177-179.
[9]戴志宏,潘竹,桂鉴超,等.腕关节镜技术结合尺骨短缩截骨术治疗尺骨撞击综合征[J].第三军医大学学报,2016,38(16):1849-1853.
[10]Iwasaki N,Ishikawa J H,Minami M,et al.Factors affecting results of ulnar shortening for ulnar impaction syndrome[J].Clinical Orthopaedics&Related Research,2007,465(465):215-219.
[2]丛晓斌,李涛,季伟,等.尺骨短缩截骨治疗特发性尺骨撞击综合征的疗效分析[J].中华手外科杂志,2013,29(1):7-9.
[3]马炜,田文.尺骨撞击综合征诊断与治疗[J].中国骨与关节杂志,2014(3):213-215.
[4]王振旺.桡骨远端骨折治疗后尺骨撞击综合征[D].华北理工大学,2015
[5]Tanaka T,Ogino S H.Ligamentous injuries of the wrist.[J].Seminars in Musculoskelet al Radiology,2008,12(04):359-377.
[6]赵宇航.中医药治疗尺骨撞击综合征68例疗效观察[J].云南中医中药杂志,2017(11):44-45.
[7]郭明磊.不同尺骨短缩截骨方法治疗尺骨撞击综合征[D].华北理工大学,2015.
[8]李学渊,王扬剑,孙涛,等.尺骨斜形截骨短缩技术结合关节镜治疗尺骨撞击综合征[J].中华手外科杂志,2014,30(3):177-179.
[9]戴志宏,潘竹,桂鉴超,等.腕关节镜技术结合尺骨短缩截骨术治疗尺骨撞击综合征[J].第三军医大学学报,2016,38(16):1849-1853.
[10]Iwasaki N,Ishikawa J H,Minami M,et al.Factors affecting results of ulnar shortening for ulnar impaction syndrome[J].Clinical Orthopaedics&Related Research,2007,465(465):215-219.