三角纤维软骨复合体损伤修复术后综合康复治疗疗效观察

目的：观察综合康复治疗对三角纤维软骨复合体（TFCC）损伤IB型经腕关节镜下修复术后的疗效.方法：TFCC损伤IB型经腕关节镜下手术治疗患者22例,随机分为康复组和对照组各11例.2组修复后均给予术后石膏托固定,拆除固定后,康复组采用中药熏洗、器械训练、手法治疗、中频脉冲电刺激、腕关节关节活动度（ROM）训练、日常生活活动能力训练及康复宣教等综合康复治疗；对照组自行康复锻炼.治疗后,评估2组的腕关节疼痛视觉模拟量表（VAS）评分及关节活动度（ROM）.结果：术后6周,2组腕关节ROM及VAS评分均较术前明显降低（P＜0.05）,但2组间比较均差异无统计学意义；术后3个月,2组腕关节ROM均较术前及术后6周明显提高（P＜0.05）,且康复组更高于对照组（P＜0.05）；2组VAS评分均较术前及术后6周明显下降（P＜0.05）,且康复组更低于对照组（P＜0.05）.结论：腕关节镜术后综合康复治疗更有利于腕关节各项功能的恢复,对手术的疗效起到强化作用,可更大程度帮助患者恢复功能.

Clinical observation of the postoperative synthetic rehabilitation therapies after arthroscopy repair of triangular fibrocartilage complex injuries

Objective：To observe the effect of synthetic rehabilitation therapies after arthroscopyic repair of type IB TFCC injuries. Methods：Twenty-two patients with type IB TFCC injury who underwent arthroscopyic repair were randomly divided into rehabilitation group and control group（n=11 each）. Both groups were given routine postoper- ative cast fixation. Rehabilitation group was subjected to traditional Chinese medicine immersion, equipment training, manual therapy, intermediate frequency electrical stimulation therapy, ROM training, ADL training and rehabilitation education. VAS scores and ROM were evaluated. Results：After treatment for 6 weeks, ROM and VAS scores in both groups were significantly reduced as compared with those pre-operation （P〈0.05）. Three months post operation, ROM scores in two groups were significantly increased as compared with those pre-operation and 6 weeks post-oper- ation （P〈0. 05）, significantly higher in the rehabilitation group than in the control group （P〈0.05） ;VAS scores in two groups were significantly decreased as compared with those pre-operation and 6 weeks post-operation （P〈0. 05）, significantly lower in the rehabilitation group than in the control group （P〈0. 05）. Conclusions： Postopera- tive synthetic rehabilitation therapies are beneficial to wrist function recovery after arthroscopyic repair of type IB TFCC injuries,which can increase the curative effect of the wrist arthroscopic operation.