三角纤维软骨复合体急性损伤保守治疗的疗效观察  

Efficacy Observation for Conservative Treatment of The Acute Triangular Fibrocantilage Complex Lesion

作　　者：王永东[1] 刘聪[1] 王国强[1] 毕素清[2] 包昌盛[1] 

机构地区：[1]内蒙古医学院附属人民医院骨科,内蒙古呼和浩特010010 [2]内蒙古医学院附属人民医院康复科,内蒙古呼和浩特010010

出　　处：《疾病监测与控制》2008年第3期150-151,共2页Journal of Diseases Monitor and Control

摘　　要：目的观察急性TFCC损伤采取保守治疗的疗效。方法对43例急性TFCC损伤患者进行以石膏固定（有骨折、脱位者首先复位）、拆除石膏后进行理疗和合理功能锻炼为主的保守治疗，并经6～18个月（平均6个月）的随访，每例患者均进行X线拍片和腕部功能检查，采用Gartland and werley评分系统，对腕部进行功能评估。结果优18例，良14例，中6例，差5例，急性TFCC损伤保守治疗的有效率88．4％。结论对腕关节急性TFCC损伤保守治疗是一种易于掌握和开展且具有良好效果能够早期康复的有效方法。Objective To observe the efficacy of the acute triangular fibrocantilage complex （TFCC） lesion with conservative treatment. Methods Totally 43 patients with the acute TFCC lesion were adopted plaster fixation（patients with fracture or dislocated should be restoration chiefly）, physiotherapy and reasonable function exercise after dismantled plaster, and then followed up for 6-18 months（mean 9）. All patients have X rays and wrist function examination evaluating the wrist function by Gartland and Werley scoring system. Results Eigheen of the 43 patients were rated excellent, 14 good, 6 fair and 5 bad. The efficiency of the conservative treatment for the acute TFCC lesion is 88.4%. Conclusion The conservative treatment for the acute wrist TFCC lesion is a efficiency treatment for early recovery, and also it should be mastered and developed more easily.

关 键 词：三角纤维软骨复合体(TFCC) 急性损伤 保守治疗 疗效 

分 类 号：R68[医药卫生—骨科学]