新医学导刊.慢性踝关节外侧不稳定重建手术治疗分析.docVIP

新医学导刊.慢性踝关节外侧不稳定重建手术治疗分析 　　【摘要】目的：研究重建手术治疗慢性踝关节外侧不稳定的疗效。方法：选择在增城市新塘医院和东莞市石碣医院就诊的50例慢性踝关节外侧不稳定的患者，按照治疗方法不同分为手术治疗的观察组和保守治疗的对照组，治疗后进行Baird踝关节评分，测量前抽屉试验距骨前移距离及倾斜角度，随访治疗效果。结果：观察组患者治疗后踝关节评分84.92±8.74、明显高于对照组，距骨前移5.75±0.44 mm、距骨相对健侧倾斜7.23±0.82°，均明显小于对照组；观察组患者治疗的优良率达到96.0％，疗效明显好于对照组。结论：手术重建治疗能够有效的提高治疗优良率，改善踝关节的解剖学结构和运动学功能。 　　【关键词】踝关节不稳定；重建手术；疗效Chronic lateral instability of the ankle joint reconstruction operation treatment analysis 　　Chen JingchaoChen HuifengGuan Donghua 　　【Abstract】 objective Study of the reconstruction operation for the treatment of chronic lateral instability of the ankle joint effect.Method Selection in Zengcheng City, Xintang Dongguan city hospital and the Shijie hospital in 50chronic lateral instability of the ankle in patients, according to the different treatment methods for operation treatment observation group and conservative treatment group after treatment, Baird ankle score, measuring the anterior drawer test of reach distance and tilt angle, follow-up of curative effect.Observation group patients after ankle score 84.92+8.74, significantly higher than that in the control group, the talus reach 5.75+0.44 mm, talus relatively uninvolved tilt of 7.23+/-0.82DEG, were significantly smaller than those in the control group; observation group therapy for patients with excellent rate reached 96%, curative effect is obviously better than the control group.Conclusion Operation reconstruction treatment can effectively improve the treatment rate of good, improved ankle anatomy and kinematics function. 　　【Key words】 Ankle instability; reconstruction operation; curative effect【中图分类号】G241.2【文献标识码】B【文章编号】1004-5511（2012）06-0342-02反复的踝关节扭伤后出现关节局部疼痛、控制力减弱和本体感觉变差等相关症状，进而引起慢性踝关节外侧不稳定。手术重建是治疗慢性踝关节外侧不稳定的有效手段，在此为了进???步分析慢性踝关节外侧不稳定的重建手术的治疗效果，笔者进行了下列研究。现将结果汇报如下。 　　1资料与方法 　　1.1一般资料: 选取2007年4月-2011年4月在增城市新塘医院和东莞市石碣医院就诊的50例慢性踝关节外侧不稳定患者的临床资料，男39例、女11例，年龄25-48岁,平均年龄(34.98±8.38)岁。所有患者均为反复的踝关节扭伤后出现关节局部疼痛、控制力减弱和本体感觉变差等相关症状,结合前抽屉试验（＋）和距骨倾斜试验（＋）诊断为慢性踝关节外侧不稳定。纳入标准：踝关节外侧反复扭伤后发生肿