骨巨细胞瘤人工假体置换术后的康复训练

 【摘要】　目的　分析特制人工假体置换治疗骨巨细胞瘤术后系统康复训练的效果。方法　20例骨巨细胞瘤患者术后实施系统化康复训练，方案包括肌力训练、关节活动训练、平衡功能、本体感觉及步态训练，并强调早期的肌肉主动性收缩训练。结果　根据Enneking的骨骼肌肉肿瘤术后功能评分系统：5例患者术后患侧上肢功能评分最低20分，最高28分，平均26.6分；评分在24分以上者共有4例，优良率80.0 %。下肢15例评分为14～27分，平均为21.5分。优良率86.7 %。结论　采用特制人工假体置换治疗骨巨细胞瘤进行早期分阶段关节功能康复锻炼可防止关节僵硬，减少关节囊、韧带等软组织粘连，最大限度恢复关节功能。

Rehabilitation training after special prosthetic replacement in the treatment of patients of giant cell tumors

【Abstract】　Objective　To evaluate the effect of convalescent training on patients after special prosthesis replacement in treatment of giant cell tumors. Methods　20 patients with giant cell tumors were treated with convalescent trainings postoperatively, including trainings of muscle strength,joint movement,balance, noumenal sense and gait and were emphasized for earlier training of active muscle contraction. Results　According to Enneking score system of bone and muscle postoperation, the lowest for extremitas superior postoperation score of 5 patiens was 20, the highest was 28, the average was 26.6. 4 patiens score was higher than 24, the good rate was 80.0 %. 15 patiens extremitas inferior score was from 14 to 27, the average was 21.5, the good rate was 86.7 %. Conclusion　Earlier staged joint functional rehabilitation exercise after special prosthesis replacement in treatment of giant cell tumors could prevent ankylosis, improve adhering of capsule, ligament and other soft tissue, and recover the joint function to maximum.