| 李远,银毅,李清山,等.关节镜下 Wafer术治疗尺骨撞击综合征 20例临床疗效[J].安徽医药,2025,29(1):87-90. |
| 关节镜下 Wafer术治疗尺骨撞击综合征 20例临床疗效 |
| Clinical effect of 20 cases of ulnar impingement syndrome treated by arthroscopic Wafer technique |
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| DOI：10.3969/j.issn.1009-6469.2025.01.017 |
| 中文关键词: 腕关节 关节镜检查 Wafer术 尺骨撞击综合征 尺骨阳性变异 尺骨撞击试验 尺腕压力试验 |
| 英文关键词: Carpal joints Arthroscopy Wafer technique Ulnar impingement syndrome Positive ulnar variance Ulnar im-pact test Ulnar wrist pressure test |
| 基金项目:2023年超声医学工程国家重点实验室开放课题面上项目( 2023KFKT024)； 2023年四川省医学会(青年创新)科研课题基金项目( Q22045) |
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| 中文摘要: |
| 目的探讨关节镜下 Wafer术治疗腕关节尺骨撞击综合征( UIS)的早期疗效。方法回顾性分析 2019年 8月至 2022年 9月遂宁市中心医院收治 20例尺骨阳性变异( UV)≤4 mm的 UIS病人，均行关节镜下 Wafer术治疗，术后行规范的康复性锻炼。男 9例，女 11例，年龄范围 18～76岁，病程范围 6～24个月。术前尺骨撞击试验、尺腕压力试验及 Press test均为阳性。术前腕关节掌屈、背伸、尺偏、桡偏角度分别为( 54.2±3.8)°、(61.1±4.3)°、(15.8±4.6)°、(13.0±2.7)°，疼痛视觉模拟评分法( VAS)、 Mayo腕关节评分、上肢功能评分表( DASH)评分、握力、 UV程度分别为( 6.2±1.1)分、(53.5±9.1)分、(45.9±5.8)分、(60.5±9.3)N，(3.5±1.5)mm。结果病人切口均 Ⅰ期愈合，无腕关节僵硬及感染等并发症发生。病人均获随访，随访时间范围为 12~24个月。末次随访时腕关节掌屈、背伸分别为(54.7±4.1)°、(61.7±4.6)°，与术前比较均差异无统计学意义( P>0.05)；尺偏、桡偏角度分别为(34.4±5.3)°、(15.6±3.5)°，与术前比较均差异有统计学意义(P<0.05)； VAS、Mayo腕关节评分、 DASH评分、握力、 UI分别为(1.6±0.6)分、(81.0±8.3)分、(15.7±4.2)分、(80.8±8.7)N，(0.8±0.8)mm，上述指标与术前比较均差异有统计学意义( P<0.05)。结论关节镜下 Wafer手术治疗 UV≤4 mm的 UIS病人疗效确切，可有效缓解疼痛，改善腕关节功能，值得临床应用及推广。 |
| 英文摘要: |
| Objective To investigate the early effect of arthroscopic Wafer in the treatment of wrist Ulnar Impaction Syndrome (UIS). Methods A retrospective analysis was performed on 20 UIS patients with positive ulnar variance (UV) ≤4 mm admitted to SuiningCentral Hospital from August 2019 to September 2022. All patients were treated with arthroscopic Wafer surgery and standard rehabili-tation exercise after surgery. There were 9 males and 11 females, ranging in age from 18 to 76 years old. The course of disease rangedfrom 6 to 24 months. Preoperative ulnar impingement test, ulnar pressure test and Press test were positive. Preoperative carpal flexion,dorsalis extension, ulnar deviation and radial deviation were (54.2±3.8) °, (61.1±4.3) °, (15.8±4.6) °, (13.0±2.7) °, respectively. Pain vi-sual analog scale (VAS), Mayo wrist score, DASH score, grip strength, UV degree were (6.2±1.1) points, (53.5±9.1) points, (45.9±5.8)points, (60.5±9.3) N, (3.5±1.5) mm, respectively.Results All the patients' incisions healed in stage Ⅰ, and no complications such aswrist stiffness and infection occurred. All patients were followed up for 12 to 24 months. At the last follow-up, carpal flexion and dorsi-flexion were (54.7±4.1) ° and (61.7±4.6) °, respectively, and there was no significant difference compared with the preoperative results(P>0.05); Ulnar deviation and radial deviation were (34.4±5.3) ° and (15.6±3.5) °, respectively, and the differences were statisticallysignificant compared with those before surgery (P<0.05); VAS, Mayo wrist score, DASH score, grip strength and UI were (1.6±0.6)points, (81.0±8.3) points, (15.7±4.2) points, (80.8±8.7) N, (0.8±0.8) mm, respectively. The above indexes were statistically significantcompared with those before surgery (P<0.05).Conclusion The treatment of UIS patients with UV (≤4 mm) with Wafer surgery underarthroscopy has definite efficacy, can effectively relieve pain and improve wrist joint function, and is worthy of clinical application andpromotion. |
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