CAJ | 학술논문

目的：：探讨应用尺骨梯形截骨短缩术治疗尺骨撞击综合征的临床效果。方法：选择河北联合大学附属骨科医院2011年4月至2013年4月收治的尺骨撞击综合征患者共20例，男13例，女7例，左侧腕9例，右侧腕11例。所有患者均应用尺骨梯形截骨短缩术治疗，术后随访6~18个月，平均9.5个月，并将随访结果应用Cooney腕关节功能评分系统评价治疗效果，从疼痛、功能、活动度及握力四个方面进行术前术后对比。结果：术前总评分40分，评定结果良2例，可14例，差4例。术后总评分95分，评定结果：优16例，良1例，可3例，差0例。术前、术后腕关节功能评分比较，差异有统计学意义(P<0.05)。结论：通过应用尺骨梯形截骨短缩术来治疗尺骨撞击综合征，能有效缓解腕关节疼痛，握力减低，腕关节活动受限等临床症状。
목적：：탐토응용척골제형절골단축술치료척골당격종합정적림상효과。방법：선택하북연합대학부속골과의원2011년4월지2013년4월수치적척골당격종합정환자공20례，남13례，녀7례，좌측완9례，우측완11례。소유환자균응용척골제형절골단축술치료，술후수방6~18개월，평균9.5개월，병장수방결과응용Cooney완관절공능평분계통평개치료효과，종동통、공능、활동도급악력사개방면진행술전술후대비。결과：술전총평분40분，평정결과량2례，가14례，차4례。술후총평분95분，평정결과：우16례，량1례，가3례，차0례。술전、술후완관절공능평분비교，차이유통계학의의(P<0.05)。결론：통과응용척골제형절골단축술래치료척골당격종합정，능유효완해완관절동통，악력감저，완관절활동수한등림상증상。
Objective:To evaluate the effect of ladder-shaped ulnar shortening osteotomy in the treatment of ulnar impaction syndrome. Methods: 20 patients with ulnar impaction syndrome in the Affiliated Hospital of Hebei United University, male 13, female 7, left side 9, right side 11, All of these patients were treated by ladder-shaped ulnar shortening osteotomy and followed-up after operation for 6 to 18 months. The Cooney wrist scoring system was used to analyze the therapeufic effect. Results: The wrist function determined by Cooney scoring system revealed that the total score was 40, 2 cases were good,14 cases were poor and 4 cases were bad before operation.After receiving the ulnar shortening osteotomy the wrist function was significantly increased to total score of 95 (P < 0.05),16 cases were excellent,1 case was good,3 cases were poor and no bad case.Conclusions:The distal ladder-shaped ulnar shortening osteotomy for ulnar impaction syndrome can contribute to alleviate the intractable pain,limited wrist mobility and other symptoms. It also plays an active role in reducing the power of gripping.Thus this operation has a positive effect on improving the patients life quality.