中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2015年
14期
115-116
,共2页
中医诊治%手术%肘关节恐怖三联征
中醫診治%手術%肘關節恐怖三聯徵
중의진치%수술%주관절공포삼련정
TCM diagnosis%Surgery%Terrible triad of the elbow
目的：探讨肘关节恐怖三联征采用中西医结合治疗的临床效果。方法：本次选取的20例肘关节恐怖三联征病例，均为我院骨科于2009年5月-2014年5月收治，在积极开展手术治疗的同时，辅助应用中医方案治疗，回顾临床资料。结果：平均随访18个月，无感染，切口均一期愈合，内固定无断裂或松脱。骨折在术后10～18周达临床愈合，肘关节活动屈伸在术后6个月时，为（111±10）度，前臂呈（110±11）度旋转。依据功能评定标准，本组优9例，占45%；良6例，占30%；可3例，占15%；差2例，占10%。关节僵硬2例，无复发性肘关节脱位等不良事件发生。结论：肘关节恐怖三联征使肘关节内在稳定性破坏，创伤性关节炎和复发性不稳定率增加，手术治疗可使稳定性增强，对同心圆复位维持，为早期功能锻炼提供基础，与中药结合应用，可获得理想的临床效果。
目的：探討肘關節恐怖三聯徵採用中西醫結閤治療的臨床效果。方法：本次選取的20例肘關節恐怖三聯徵病例，均為我院骨科于2009年5月-2014年5月收治，在積極開展手術治療的同時，輔助應用中醫方案治療，迴顧臨床資料。結果：平均隨訪18箇月，無感染，切口均一期愈閤，內固定無斷裂或鬆脫。骨摺在術後10～18週達臨床愈閤，肘關節活動屈伸在術後6箇月時，為（111±10）度，前臂呈（110±11）度鏇轉。依據功能評定標準，本組優9例，佔45%；良6例，佔30%；可3例，佔15%；差2例，佔10%。關節僵硬2例，無複髮性肘關節脫位等不良事件髮生。結論：肘關節恐怖三聯徵使肘關節內在穩定性破壞，創傷性關節炎和複髮性不穩定率增加，手術治療可使穩定性增彊，對同心圓複位維持，為早期功能鍛煉提供基礎，與中藥結閤應用，可穫得理想的臨床效果。
목적：탐토주관절공포삼련정채용중서의결합치료적림상효과。방법：본차선취적20례주관절공포삼련정병례，균위아원골과우2009년5월-2014년5월수치，재적겁개전수술치료적동시，보조응용중의방안치료，회고림상자료。결과：평균수방18개월，무감염，절구균일기유합，내고정무단렬혹송탈。골절재술후10～18주체림상유합，주관절활동굴신재술후6개월시，위（111±10）도，전비정（110±11）도선전。의거공능평정표준，본조우9례，점45%；량6례，점30%；가3례，점15%；차2례，점10%。관절강경2례，무복발성주관절탈위등불량사건발생。결론：주관절공포삼련정사주관절내재은정성파배，창상성관절염화복발성불은정솔증가，수술치료가사은정성증강，대동심원복위유지，위조기공능단련제공기출，여중약결합응용，가획득이상적림상효과。
Objective:To investigate clinical effects of integrative medicine on terrible triad of the elbow. Methods:20 patients with terrible triad of the elbow were selected to receive surgical treatment and TCM therapy. Clinical data was analyzed. Results: Mean follow-up time was 18 months, there was no infection;all incision was healed, and there was no fracture or loosening of internal fixation. After the surgery, and in 10~18 weeks,fracture was healing. In 6 months, range of motion of the elbow could be up to (111 ± 10) degrees, forearm could be rotate to (110 ± 11) degrees. According to the functionality evaluation criteria to judge the efficacy in this group, 9 cases was excellent, accounted for 45%; 6 cases had good efficacy, accounted for 30%; 3 cases was better, accounted for 15%; 2 cases were lower effective, accounted for 10%.There were 2 cases of joint stiffness, and no recurrent elbow dislocation and other adverse events. Conclusion: Terrible triad of the elbow injured the inherent stability of the elbow joint, increased the recurrence of traumatic arthritis, surgery plus TCM could enhance the stability, and obtained ideal clinical efficacy.
