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解放军预防医学杂志  2016, Vol. 34 Issue (3): 407-409    
  军事训练伤专栏 本期目录 | 过刊浏览 | 高级检索 |
体外冲击波治疗军事训练致腕部三角纤维软骨复合体损伤疗效分析
黄立羡, 林坤山, 练克俭
解放军第一七五医院骨科, 福建漳州 363000
Efficacy Analysis of Extracorporeal Shock Wave on Injury of Triangular Fibrocartilage Complex in Wrist Induced by Military Training
HUANG Lixian, LIN Kunshan, LIAN Kejian
Orthopedics Department, the 175th Hospital of PLA, Fujian Zhangzhou 363000, China
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摘要 目的 观察体外冲击波治疗军事训练致腕部三角纤维软骨复合体(triangular fibrocartilage complex,TFCC)损伤的疗效。方法 对门诊14例TFCC损伤患者行体外冲击波治疗,选用痛点及腕关节周围组织,治疗压力1.5~2.5 Bar,频率10 Hz,冲击次数3000次,1周治疗1次,4次为1个疗程。根据改良mayo腕关节评分和视觉模拟评分法(Visual Analogue Scale/Score,VAS)评价疗效。结果 治疗后mayo评分明显改善,治疗效果为优9例、良3例、可2例;VAS评分明显下降,与治疗前比较有显著性差异(P<0.05)。显效14例,有效率100%;治疗后随访半年无复发。结论 体外冲击波治疗TFCC损伤疗效好,操作简单,无副作用。
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关键词 体外冲击波三角纤维软骨复合体改良mayo腕关节评分    
AbstractObjective To study the effect of extracorporeal shock wave on the injury of triangular fibrocartilage complex in wrist induced by military training.Methods Fourteen out-patient cases accepted extracorporeal shock wave therapy in the pain point and the around of the wrist with 1.5-2.5 Bar impact pressure, 10 times/second, 3000 impacting times, once a week, for 4 weeks. Mayo scores and Visual Analogue Scale (VAS) were taken to evaluate the therapeutic effect.Results After the treatment, the mayo scores were improved significantly, and the therapeutic effect included 9 excellent cases, 3 good cases, and 2 moderate cases. Compared with the pretherapy, the VAS decreased obviously (P<0.05). The total effective rate of extracorporeal shock wave on the injury of triangular fibrocartilage complex was 100 % in all 14 cases. Follow-up visit lasted for half a year with no recurrence.Conclusion Extracorporeal shock wave has significant therapeutic effect on the injury of triangular fibrocartilage complex, with operation easily and no adverse reactions.
Key wordsextracorporeal shock wave therapy    triangular fibrocartilage complex    Mayo modified wrist scores
     出版日期: 2016-08-30
引用本文:   
黄立羡, 林坤山, 练克俭. 体外冲击波治疗军事训练致腕部三角纤维软骨复合体损伤疗效分析[J]. 解放军预防医学杂志, 2016, 34(3): 407-409.
HUANG Lixian, LIN Kunshan, LIAN Kejian. Efficacy Analysis of Extracorporeal Shock Wave on Injury of Triangular Fibrocartilage Complex in Wrist Induced by Military Training. Journal of Preventive Medicine of Chinese People's Liberation Army, 2016, 34(3): 407-409.
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