Evaluation the treatment effect of synovectomy under arthroscope on elbow rheumatoid arthritis
10.3760/cma.j.issn.1008-6706.2016.03.025
- VernacularTitle:关节镜下滑膜切除术治疗肘关节类风湿关节炎的效果评价
- Author:
Zhenhai CAI
;
Gang CHEN
;
Jieen PAN
;
Chenglong HUANG
- Publication Type:Journal Article
- Keywords:
Arthritis,Rheumatoid;
Arthroscopy;
Pain
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(3):411-413,414
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the treatment effect of synovectomy under arthroscope on elbow rheumatoid arthritis.Methods 38 patients with elbow rheumatoid arthritis were selected as the research subjects,received arthroscopic synovial treatment,surgical procedures require more than one direction into the intra -articular,cleaning elbow joint synovial,complete removal of the foreign body cavity.Postoperative follow -up for 30 months,and com-pared the patients'Mayo elbow performance score and joint activity situation before and after surgery.Results After surgery,Elbow pain score[(30.12 ±8.11)points],activity level[(17.01 ±2.88)points],joint function[(20.67 ± 5.01)points]and total score[(73.04 ±12.01)points]were significantly higher than the pre -operative[(3.98 ± 3.89)points,(9.78 ±5.02)points,(13.77 ±3.69)points,(33.04 ±10.01)points](t =18.38,P <0.05;t =7.90, P <0.05;t =7.01,P <0.05;t =16.18,P <0.05 ).After surgery,elbow flexion activity score [(113.12 ± 15.11)points]was significantly higher than the preoperative flexion elbow activity score[(93.03 ±19.89)points] (t =5.09,P <0.05 ).Conclusion Treated elbow rheumatoid arthritis by synovectomy under arthroscope could effectively improve the disease status of patients,relieve pain,enhance mobility,allowing patients to gradually return to normal life,and it can be widely used in clinical practice.
