中国现代手术学杂志  2017, Vol. 21 Issue (3): 197-200 |
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| 肘关节镜术后失败原因分析及对策 |
| 马振华；李云；徐迈；刘玉新 |
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摘要 目的 分析肘关节镜二次手术病例初次手术失败原因,总结翻修手术临床效果。方法回顾我科自2010年2月至2015年6月收治的12例肘关节镜术后失败的病例,通过术前检查及术中关节镜下所见分析首次手术失败原因,记录术中处理措施及术后临床疗效。手术操作流程采用北医三院程序及崔国庆的7分区法。结果 首次手术失败原因如下:7例骨关节炎病人骨赘清理不彻底;4例类风湿性关节患者滑膜切除不充分;1例滑膜软骨瘤病人软骨瘤没有清理干净。术后肘关节屈伸活动范围较术前有显著性提高。肘关节Mayo评分从术前(53.8±14.9)分提高到末次随访的(96.3±6.8)分(P<0.05);VAS评分从术前(4.9±1.4)分改善到术后12月随访时的(0.3±0.5)分(P<0.05)。所有患者对手术效果均主观满意。结论 初次肘关节镜手术失败原因主要由于关节腔内病变清理不彻底,二次手术困难较大。术前详细及完善的检查,术中按序不留遗漏的检查及操作,是肘关节镜翻修成功的关键。
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| 关键词:
肘关节
关节镜检查
二次手术
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出版日期: 2017-06-30
发布日期: 2017-10-30
期的出版日期: 2017-06-30
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| [1] |
JIAN Wen-jing, TANG Jing, WANG Xian-ming. Retrospective Analysis on 12Genes DCIS Score Model Predicting the Recurrence Risk of Ductal Carcinoma in Situ of the Breast[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(3): 161
-167
. |
| [2] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 168
-173
. |
| [3] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 174
-177
. |
| [4] |
WANG Zheng-lin. Comparison of the Short-term Clinical Efficacy of Laparoscopic-Assisted and Open Radical Resection of Colorectal Cancer[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(6): 401
-405
. |
| [5] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 178
-181
. |
| [6] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 182
-186
. |
| [7] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 187
-190
. |
| [8] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 191
-193
. |
| [9] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 194
-196
. |
| [10] |
. [J]. Chinese journal of modern operative surgery, 2017, 21(3): 201
-205
. |
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