军事训练TFCC损伤后疼痛非手术治疗的研究进展  

Research progress on non-surgical treatment of pain after TFCC injury in military training

作　　者：何阳(综述) 阮剑辉 甘国胜(审校) HE Yang;RUAN Jianhui;GAN Guosheng(Hubei University of Medicine,Shiyan 442000,Hubei,China;Department of Pain Medicine,General Hospital of Central Theater Command,Wuhan 430070,Hubei,China)

机构地区：[1]湖北医药学院,十堰442000 [2]中部战区总医院疼痛科,武汉430070

出　　处：《医学研究与战创伤救治》2024年第10期1103-1108,共6页Journal of Medical Research & Combat Trauma Care

基　　金：湖北省卫生和计划生育委员会联合基金项目(WJ2018H0082)。

摘　　要：军事训练是提高战斗力的重要途径,随着军事训练强度加大,发生军事训练伤的几率大大增加,而腕关节三角纤维软骨复合体(TFCC)损伤是军事训练中常见且较难以避免的损伤类型。根据Pamler分型,可将TFCC损伤分为创伤型及退变型,其中创伤型在军事训练中较为常见。TFCC损伤不仅会引起功能障碍且常伴随疼痛症状,易造成军事训练非战斗减员。目前针对TFCC损伤后疼痛治疗有腕关节镜手术、神经离断术、微创手术及非手术等治疗方法。其中针刺、手法、运动、注射为代表的非手术疗法以其高效性和不良反应少的特点,成为临床治疗的重要手段。文章主要对TFCC解剖结构及其损伤后的非手术疼痛治疗相关基础、临床研究进行综述。Military training is an important way to improve combat effectiveness.With the increase in the intensity of military training,the probability of military training injuries greatly increases.Wrist triangular fibrocartilage complex(TFCC)injury is a common and difficult-to-avoid type of injury in military training.According to the Pamler classification,TFCC injuries can be divided into traumatic and degenerative types,with traumatic type being more common in military training.TFCC injury not only causes functional impairment but is often accompanied by pain symptoms,which can easily lead to non-combat attrition in military training in military training.At present,there are various treatment methods for pain after TFCC injury,including wrist arthroscopy,nerve transection,minimally invasive surgery,and non-surgical treatments.Among them,non-surgical treatments represented by acupuncture,manipulation,exercise,and injection have become important clinical treatments due to their high efficiency and minimal adverse reactions.The article mainly reviews the basic and clinical research on the anatomical structure of TFCC and non-surgical pain treatment after its injury.

关 键 词：三角纤维软骨复合体损伤 疼痛机制 非手术治疗 

分 类 号：R82[医药卫生—临床医学]