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  

Application effect comparison of external fixator and plaster fixation in patients with elbow joint stiffness releasing surgery

作　　者：梁建昕 郭九生 李琦 LIANG Jian-xin;GUO Jiu-sheng;LI Qi(Department of Orthopedics,People′s Hospital of Yudu County,Jiangxi Province,Yudu 342300,China)

机构地区：[1]江西省于都县人民医院骨关节科,江西于都342300

出　　处：《中国当代医药》2020年第25期102-105,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2018ZSF 570)。

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。Objective 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.

关 键 词：手术松解 外固定架 石膏固定 肘关节僵硬 

分 类 号：R687.3[医药卫生—骨科学]