踝关节镜治疗踝前撞击综合征的临床疗效

踝关节镜治疗踝前撞击综合征的临床疗效
丁浩;谢水华;王小鹏;陈卫东;何建华;吴军;夏明华;胡前芹
【期刊名称】《江西医药》
【年(卷),期】2015(000)007
【摘要】Objective To study the therapeutic effect of combination of rehabilitation treatment with atthroscopic treatment of anterolateral ankle impingement syndrome. Methods From March 2011 to August 2014,42 cases of anterolateral ankle impinge-ment syndrome were randomly divided into three groups:the treatment group and the control group,14 cases in each group. Re-sults All the cases were followed. The follow-up was 4 to 45 months. According to Ogilvie Harris scoring
system ,preoperative and postoperative assessment was conducted,and the preoperative condition points more similar between the three groups has no statis-tical significance (P>0.05). The treatment group:the
postop erative condition (15.35 ±0.74) points,compared with the preoperative condition (6.85±1.46)points,was significantly increased,which had statistical significance (t=17.57,P<0.05). good rate was 100%. The control A group:the postoperative condition(14.36±1.21) points,compared with the preoperative condition(6.88±1.42) points, was significantly increased,which had statistical significance (t=18.36,P<0.05). Among the 14 cases,13 patients reported that an-kle pain and swelling disappeared and the functions recovered to the normal.1 patients presented with mild
limitation in ankle dor-siflexion activity,swelling and pain after the activity. good rate was 85.71%. The control B group:the postoperative condition(13. 93±1.59) points,compared with the preoperative condition (6.92±1.38) points,was significantly increased,which had statistical sig-nificance
(t=18.72,P<0.05). Among the 14 cases,12 patients reported that ankle pain and swelling disappeared and the functions recovered to the normal. 2 patients presented with mild limitation in ankle dorsiflexion
activity ,swelling and pain after the activity. good rate was 85.71%. Good rate and postoperative 12 weeks of the treatment group condition points significantly higher than the control group A and group B. The postoperative condition points more similar between the three groups has no statistical signifi-cance(P>0.05). Conclusion The arthroscopic treatment of anterolateral ankle impingement syndrome is safe,effective and less in-vasive. After chinese medicine fumigation combined with articular cavity injection of sodium hyaluronate of rehabilitation treatment is a quick recovery,less pain and Good functional recovery.%目的：探讨踝关节镜结合术后康复治疗踝前撞击综合征的临床疗效。

方法2011年3月-2014年8月，对42例踝前撞击综合征患者，随机分为3组，每组14例，治疗组为关节镜+中药熏洗结合注射玻璃酸钠康复治疗组，对照A组为关节镜+术后注射玻璃酸钠组，对照B组为单纯关节镜组。

结果均获随访，随访时间4-45个月。

按照Ogilvie Harris 评分对患者术前、术后情况进行评估，组间术前评分比较差异无统计学意义（P＞0.05）。

治疗组：术后12周（15.35±0.74）分与术前（6.85±1.46）分比较差异具有统计学意义（t=17.57，P＜0.05）。

优良率100%。

对照A组：术后12周（14.36±1.21）分与术前（6.88±1.42）分比较差异具有统计学意义（t=18.36，
P＜0.05），13例踝关节疼痛、肿胀症状消失，功能恢复正常，1例背伸活动轻度受限，活动时伴发疼痛、肿胀，优良率92.85%。

对照B组：术后12周
（13.93±1.59）分与术前（6.92±1.38）分比较差异具有统计学意义（t=18.72，P＜0.05），12例踝关节疼痛、肿胀症状消失，功能恢复正常，2例背伸活动轻度受限，活动时伴发疼痛、肿胀，优良率85.71%。

治疗组优良率及术后12周评分明显高于对照A组和B组，但组间术后评分比较差异无统计学意义（P＞0.05）。

结论踝关节镜治疗踝前撞击综合症临床疗效显著，创伤小，安全有效，术后中药熏洗结合关节腔注射玻璃酸钠的康复治疗方式，大大缩短康复时间，减轻患者术后疼痛，功能恢复良好。

【总页数】3页(P629-631)
【作者】丁浩;谢水华;王小鹏;陈卫东;何建华;吴军;夏明华;胡前芹
【作者单位】南昌市第二医院，南昌 330003;南昌市第二医院，南昌 330003;南昌市第二医院，南昌 330003;南昌市第二医院，南昌 330003;南昌市第二医院，南昌 330003;南昌市第二医院，南昌 330003;南昌市第二医院，南昌 330003;南昌市第二医院，南昌 330003
【正文语种】中文
【中图分类】R687.4
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