摘要
[目的]探讨关节镜下射频汽化术治疗臀肌挛缩症术后早期下床的可行性。[方法]对2002年7月～2005年10月行关节镜下射频汽化术治疗臀肌挛缩症患者下床时间、下床后不良反应发生、留置尿管时间、术后伤口愈合情况、功能恢复、出院时间等因素进行研究。[结果]下床时间为术后6～8h，平均为7h；2例患者下床后出现头晕、恶心症状，经对症处理后好转；留置尿管时间平均为6．5h，尿管拔出后均能自行排尿；67例患者伤口一期愈合，l例伤口延迟愈合，无感染；功能评价：出院时平均分为9分，1个月平均得分为10分。住院时间2～6d，平均为2．58d。[结论]关节镜下射频汽化术治疗臀肌挛缩症术后下床早，可减少病人痛苦，有利于早期功能康复，提高治愈率，缩短住院时间，安全可行。
[ Objective] To evaluate the feasibility of early off-bed exercises after arthroscopically assisted radiofrequency release of gluteal muscle contracture. [ Method] Patients of gluteal muscle contracture underwent arthroscopically assisted radiofrequency release of gluteal muscle contracture. Post-operative off-bed time, side effects, duration of urinary catheter drainage, wound healing, early recovery of function, and in-hospital time were studied. [ Result] Off-bed time averaged 7 hours （6 - 8 hours ） . Two cases complained of being faint and nausea. After allopathic treatment, no serious complications appeared. Averaged duration of urinary catheter drainage was 7. 5 hours. Primary healing of wounds were found in 67 patients, while 1 case got delayed wound healing. None of them had any infections. Functional scores averaged 9 at the time of discharging and 10 after 1 month. Post-operative in-hospital time averaged 2. 58 days （ 2 - 6 days） . [ Conclusion ] Arthroscopically assisted radiofrequency release of gluteal muscle contracture results in early post-operative off-bed time and reduction of suffering, which is propitious to functional recovery, rate of healing, and shorter in-hospital time.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第11期834-836,共3页
Orthopedic Journal of China
关键词
关节镜
臀肌挛缩
早期下床
Arthroscopy
Gluteal muscle contracture
Early off-bed time
