目的评估完全清醒局部麻醉无止血带技术(Wide awake local anesthesiatourniquet,WALANT)在治疗尺骨鹰嘴滑囊炎中的疗效。方法回顾性分析保守治疗无效且病程超过6个月的尺骨鹰嘴滑囊炎患者临床资料,所以患者均采用关节镜手术治疗,按麻...目的评估完全清醒局部麻醉无止血带技术(Wide awake local anesthesiatourniquet,WALANT)在治疗尺骨鹰嘴滑囊炎中的疗效。方法回顾性分析保守治疗无效且病程超过6个月的尺骨鹰嘴滑囊炎患者临床资料,所以患者均采用关节镜手术治疗,按麻醉方式不同分为WALANT组和臂丛麻醉组。主要观察指标包括手术时长、手术费用、术前与术后疼痛评分(VAS)和Mayo肘关节功能评分系统(MEPS)评分。结果研究发现,WALANT组手术时长和费用均显著低于臂丛麻醉组;两组术后VAS评分较术前均显著下降,且术后6、24 h VAS评分无显著差异;术后两组MEPS评分较术前均显著提高,且术后1~6个月两组MEPS评分无显著差异;术后6个月随访两组均未出现复发。结论WALANT技术在尺骨鹰嘴滑囊炎关节镜治疗中表现出良好的疗效和经济效益。展开更多
Olecranon bursitis is rarely seen in patients with stroke, but reflex sympathetic dystrophy syndrome is not. Here, we report a stroke case, which represented the clinical symptom of reflex sympathetic dystrophy syndro...Olecranon bursitis is rarely seen in patients with stroke, but reflex sympathetic dystrophy syndrome is not. Here, we report a stroke case, which represented the clinical symptom of reflex sympathetic dystrophy syndrome after development of olecranon bursitis in few days, and describe his clinical association between both conditions. Sonographicpicture of the right elbow in this case is shown.展开更多
文摘目的评估完全清醒局部麻醉无止血带技术(Wide awake local anesthesiatourniquet,WALANT)在治疗尺骨鹰嘴滑囊炎中的疗效。方法回顾性分析保守治疗无效且病程超过6个月的尺骨鹰嘴滑囊炎患者临床资料,所以患者均采用关节镜手术治疗,按麻醉方式不同分为WALANT组和臂丛麻醉组。主要观察指标包括手术时长、手术费用、术前与术后疼痛评分(VAS)和Mayo肘关节功能评分系统(MEPS)评分。结果研究发现,WALANT组手术时长和费用均显著低于臂丛麻醉组;两组术后VAS评分较术前均显著下降,且术后6、24 h VAS评分无显著差异;术后两组MEPS评分较术前均显著提高,且术后1~6个月两组MEPS评分无显著差异;术后6个月随访两组均未出现复发。结论WALANT技术在尺骨鹰嘴滑囊炎关节镜治疗中表现出良好的疗效和经济效益。
文摘Olecranon bursitis is rarely seen in patients with stroke, but reflex sympathetic dystrophy syndrome is not. Here, we report a stroke case, which represented the clinical symptom of reflex sympathetic dystrophy syndrome after development of olecranon bursitis in few days, and describe his clinical association between both conditions. Sonographicpicture of the right elbow in this case is shown.
