摘要
目的探讨关节镜对踝关节不稳的诊治疗效和价值。方法对2003年3月至2006年10月应用关节镜诊治的68例踝关节不稳的病例进行回顾及分析,采用Baird踝关节评分系统进行评估踝关节功能。结果Baird踝关节评分：术前为40～62分[平均（54.6±4.5）分],术后77～95分[平均（91.7±8.9）分],手术前后评分比较差异有统计学意义（t=30.69,P〈0.01）。按照该标准评定结果：优43例,良21例,可4例,差0例。优良率94.1%,无漏诊及误诊,无并发症。结论关节镜下对踝关节不稳的临床评价精确,漏诊率低,对治疗方案的选择提供更全面的依据,且创伤小,恢复快,并发症少,对诊疗效果有更高,更可靠的价值。
Objective To discussion the effect of arthroscopy use in the diagnosis and treatment of ankle instability. Methods To review and analyze 68 cases of ankle instability cases who were received the treatment of arthroscopy, from March 2003 to October 2006. To use of Baird ankle scoring system to assess functional ankle. Results Baird and other related anti-ankle score ： preoperative 40 - 62 scores （ an average of 54.6 ± 4.5 scores）, after 77 -95 scores（ an average of 91.7 ±8.9 scores）, and there is statistic significance between preoperative and postoperative scores. In accordance with the criteria Results： is 43 cases of excellent,21 cases is better,4 cases is good,no case is poor,excellent and better rate is 94. 1%, no missed diagnosis and misdiagnosis,without any complication. Conclusion Arthroscopic ankle instability on clinical evaluation of precision, the low rate of missed diagnosis, the choice of treatment programs and provide more comprehensive basis, and less trauma and rapid recovery, fewer complications make it have higher clinical effect and more reliable value.
出处
《医学综述》
2009年第9期1422-1425,共4页
Medical Recapitulate
关键词
踝关节
关节镜
真性不稳
假性不稳
Ankle
Arthroscopy
True unsteadiness
Pseudo-unstable
