肘关节镜下关节清理术治疗肘关节滑膜软骨瘤病的疗效观察

目的观察肘关节镜下关节清理术治疗肘关节滑膜软骨瘤病的疗效。方法 12例肘关节滑膜软骨瘤病患者术前均有不同程度疼痛及活动受限。术中均采用肘关节镜下关节清理术,清除关节内游离体及病变滑膜,术后随访6～24个月,采用Mayo肘关节评分作为疗效评定的标准,观察所有肘关节滑膜软骨瘤病患者治疗前后肘关节评分及肘关节屈曲角度的改善情况。结果 12例患者随访6～24月（平均15月）。肘关节平均伸屈活动范围从术前的79.6°±10.3°提高到术后的128.4°±12.5°。肘关节疼痛、肿胀症状减轻。Mayo肘关节评分由术前的55.4±13.1分提高到术后的89.2±11.7分。7例患者非常满意,4例满意,1例不满意,满意率为91.67%。结论肘关节镜创伤小、并发症少、术后恢复快、功能改善显著,是治疗肘关节滑膜软骨瘤病的有效方法。

Effect of Arthroscopy Debridement in the Treatment of Elbow Synovial Chondromatosis

Objective To explore the effect of arthroscopy in treatment of elbow synovial chondromatosis. Methods From July 2008 to June 2013,12 cases of elbow synovial chondromatosis were treated with arthroscopic debridement and followed up for 6 ～ 24 months. Mayo Elbow Performance Score（ MEPS） and elbow flexion angles were used to evaluate and compare the patients＇ condition before the operation and at the final follow-up after the operation. Results 12 cases were followed up for 6 to 24 months（ mean 15 months）. At the final follow-up,symptoms of locked joint disappeared in all patients,the range of motion of the elbow joint improved from 79. 6° ± 10. 3° to 128. 4° ± 12. 5°,the MEPS improved from 55. 4 ± 13. 1to 89. 2 ± 11. 7. Of the 12 cases,the results were excellent in 7,good in 4 and poor in 1. The satisfactory rate was 91. 67%.Conclusion Arthroscopy debridement has a significant efficacy in the treatment of elbow synovial chondromatosis.