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中国当代医药  2020, Vol. 27 Issue (25): 102-105    
  骨科医学 本期目录 | 过刊浏览 | 高级检索 |
外固定架与石膏固定在肘关节僵硬手术松解后的应用效果比较
梁建昕 郭九生 李琦
江西省于都县人民医院骨关节科,江西于都 342300
Application effect comparison of external fixator and plaster fixation in patients with elbow joint stiffness releasing surgery
LIANG Jian-xin    GUO Jiu-sheng    LI Qi
Department of Orthopedics, People′s Hospital of Yudu County, Jiangxi Province, Yudu 342300, China
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摘要 目的 比较外固定架与石膏固定在肘关节僵硬手术松解后的应用效果。方法 选取2018年4月~2019年4月我院收治的40 例肘关节僵硬患者作为研究对象,按照随机数字表法方法分为外固定架固定组(n=20)与石膏固定组(n=20),均予以相同手术松解术进行治疗,观察两组患者术前与术后1 个月的Amadio 评分情况、肘关节活动范围情况、Mayo 评分情况、临床治疗满意度情况、复发情况。结果 两组患者的术前与术后1 个月的Amadio 评分、肘关节活动范围与Mayo 评分比较,差异无统计学意义(P>0.05);两组患者术后1 个月的Amadio 评分、肘关节活动范围、Mayo 评分高于本组术前,差异有统计学意义(P<0.05);并且外固定架固定组的临床治疗总满意度高于石膏固定组,复发率低于石膏固定组,差异有统计学意义(P<0.05)。结论 相比于石膏固定,外固定架在肘关节僵硬手术松解后的应用效果更佳,不仅能够提升Amadio 评分、肘关节活动范围、Mayo 评分,同时能够提高临床治疗满意度,降低复发率。
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作者相关文章
梁建昕
郭九生
李琦
关键词 手术松解外固定架石膏固定肘关节僵硬    
AbstractObjective To compare the application effect of external fixator and plaster fixation in patients with elbow joint stiffness releasing surgery. Methods A total of 40 cases of elbow joint stiffness admitted to our hospital from April 2018 to April 2019 were selected as research objects. According to the random number table method, they were divided into external fixator group (n=20) and plaster fixation group (n=20), both groups were treated with the same surgical releasing method. The Amadio score, range of elbow joint motion, Mayo score, clinical treatment satisfaction, and recurrence of the two groups of patients were observed before surgery and 1 month after surgery. Results The Amadio score,range of elbow joint motion and Mayo score of patients between the two groups before surgery and 1 month after surgery had no significant differences (P>0.05). The Amadio score, range of elbow joint motion and Mayo score of 1 month after surgery were higher than those of this group before surgery, the differences were statistically significant (P<0.05); and the clinical treatment total satisfaction of the external fixator group was higher than that in the plaster fixation group,and the recurrence rate was lower than that in the plaster fixation group, the differences were statistically significant(P<0.05). Conclusion Compared with plaster fixation, the external fixator has a better application effect after elbow joint stiffness releasing surgery. It can not only improve the Amadio score, range of elbow joint motion, and the Mayo score, but also increase the satisfaction of clinical treatment and reduce the recurrence rate.
Key wordsSurgical releasing    External fixator    Plaster fixation    Elbow joint stiffness
    
基金资助:江西省赣州市指导性科技计划项目(GZ2018ZSF 570)
引用本文:   
梁建昕;郭九生;李琦. 外固定架与石膏固定在肘关节僵硬手术松解后的应用效果比较[J]. 中国当代医药, 2020, 27(25): 102-105.
LIANG Jian-xin; GUO Jiu-sheng; LI Qi. Application effect comparison of external fixator and plaster fixation in patients with elbow joint stiffness releasing surgery. 中国当代医药, 2020, 27(25): 102-105.
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