摘要
目的：探讨腕月骨脱位及月骨周围脱位的诊断手段与治疗方法,为临床月骨脱位及月骨周围脱位的诊断与治疗提供依据,防止误诊和漏诊的发生.方法：收集本院2001年1月到2010年6月收治并就诊的在外院漏诊或误诊的月骨脱位或月骨周围脱位患者21例,采用拍摄腕部正位和侧位X片进行诊断,并依据病情进行早期复位和适当的固定,并于术后1年后进行Mayo Modified Wrist Score功能评价.结果：①共诊断出月骨脱位5例,经舟骨月骨脱位2例,月骨周围脱位9例,经舟骨月骨周围脱位4例,不典型月骨周围脱位1例.②术后患者的平均得分为81.2±3.8分,除1例患者得分为差外,其余20例患者得分均在尚可以上,占95.2%.结论：腕月骨脱位及月骨周围脱位情况比较复杂,应避免漏诊和误诊,尤其是不典型月骨周围脱位,及时和分型的术后治疗有助于腕关节功能的恢复.
Objective：To explore the diagnosis and treatment methods for lunare bone dislocation and perilunar dislocation, hoping to provide clinical reference for the diagnosis and treatment of lunare bone dislocation and perilunar dislocation to avoid wrong and missing diagnosis. Methods：21 lunare bone dislocation or perilunar dislocation patients wrong and missing diagnosed by other hospitals were accepted and cured by our hospital. The diagnosis was carried out by radiographic measurement for of normotopia and accumbent picture of waist. After that early relocate and proper fixation was underwent according to the patient＇s condition and Mayo Modified Wrist Score evaluation was carried out one year after the operating. Results： ① There were 5 lunare bone dislocation, 2 trans-scapbo- lunare dislocation, 9 perilunar dislocation,4 trans- scapho- perilunar dislocation and 1 atypia- perilunar dislocation.②The mean Mayo Modified Wrist Score of patients one year later was 81.2 ± 3.8. Except one patient, the remaining 20 patients show a score of ordinary and even better （95.2%）. Conclusions：The clinical situation of lunare bone dislocation and perilunar dislocation is very complicated, which should be carefully diagnosed to avoid of wrong and missing diagnosis.
出处
《按摩与康复医学》
2011年第29期40-41,共2页
Chinese Manipulation and Rehabilitation Medicine
