运动医学中尺骨撞击综合征的治疗研究  

Study on the Treatment of Ulnar Impingement Syndrome in Sports Medicine

作　　者：陈智琨 林建春 谢亮文 陈跃秦 刘瑞仁 CHEN Zhikun;LIN Jianchun;XIE Liangwen;CHEN Yueqin;LIU Ruiren(Department of Orthopedics,Tong'an Hospital of the First Affiliated Hospital of Xiamen University(Xiamen Third Hospital),Xiamen,Fujian Province,361100 China)

机构地区：[1]厦门大学附属第一医院同安院区(厦门市第三医院)骨科,福建厦门361100

出　　处：《中外医疗》2024年第8期31-34,共4页China & Foreign Medical Treatment

基　　金：福建中医药大学校管科研课题(XB20201097)。

摘　　要：目的探究运动医学中尺骨撞击综合征的诊断和治疗方法。方法便利选取厦门大学附属第一医院同安院区于2021年6月—2023年1月收治的66例尺骨撞击综合征患者为研究对象,根据不同治疗方法分成观察组和对照组,每组33例。对照组患者采用尺骨缩短截骨术进行治疗,观察组患者采用关节镜下wafer手术进行治疗,记录两组尺骨撞击综合征患者的病情变化。结果观察组治疗总有效率(93.94%)高于对照组(84.85%),差异有统计学意义(χ^(2)=4.215,P<0.05);观察组患者出现3例不良反应(9.10%),对照组出现6例(18.19%),观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。观察组腕关节改良关节功能得分高于对照组,差异有统计学意义(P<0.05)。结论关节镜下wafer手术治疗尺骨撞击综合征的疗效更加显著,可以减少不良反应的发生。Objective To explore the diagnosis and treatment of ulnar impingement syndrome in sports medicine.Methods A total of 66 ulnar impingement syndrome patients admitted to Tong'an Hospital of the First Affiliated Hospital of Xiamen University from June 2021 to January 2023 were conveniently selected as the study objects.According to different treatment methods,the patients were divided into observation group and control group,with 33 cases in each group.Patients in the control group were treated with ulna shortening osteotomy,while patients in the observation group were treated by arthroscopic wafer surgery.The condition changes of two groups of patients with ulna impingement syndrome were recorded.Results The total effective rate of the observation group(93.94%)was higher than that of the control group(84.85%),and the difference was statistically significant(χ^(2)=4.215,P<0.05).The were 3 adverse events in the observation group(9.10%)and 6 in the control group(18.19%),the total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Modified Joint Function Score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The efficacy of arthroscopic wafer surgery in the treatment of ulnar impingement syndrome is more remarkable and it can reduce the occurrence of adverse reactions.

关 键 词：尺骨撞击综合征 运动医学 治疗方法 手术疗法 

分 类 号：R4[医药卫生—临床医学]