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金天格胶囊辅助关节镜治疗踝关节外侧不稳的疗效及对关节液的影响
户小彬
南开大学附属医院天津市第四医院天津 300222
摘要:
目的:探究金天格胶囊辅助踝关节镜治疗踝关节外侧不稳( LIA)的临床疗效及对关节液的影响。方法:选取 2016年 1月—2018年 1月在我院行踝关节镜治疗 ATFL的 40例 LIA患者为观察对象。采用回顾性分析方式对其手术前后影像测量结果、踝关节功能、踝部疼痛情况、下肢功能、下肢运动评分以及关节液指标情况进行对比分析。结果:影像测量结果:患者术后距骨倾斜角、距骨前移均低于术前( P<0.05);踝关节功能:患者术后疼痛、功能以及力线评分均显著高于术前( P<0.05);踝关节情况以及膝关节情况:患者术后疼痛视觉模拟评分( VAS)以及 Tegner评分明显低于术前,且 Karlsson-Peterson踝关节功能评分、 Lysholm评分明显高于术前( P<0.05);关节液情况:患者术后白细胞介素( IL)-1、肿瘤坏死因子( TNF)-α、基质金属蛋白酶( MMP)-3水平显著低于术前,转化生长因子( TGF)-β1明显高于术前( P<0.05)。结论:在 LIA患者治疗过程中应用金天格胶囊辅助踝关节技术具有显著临床效果,不仅能够提升患者踝关节功能、减轻其疼痛感,而且对改善患者关节液水平具有重要作用,值得在临床实践中广泛应用及推广。
关键词:  金天格胶囊  踝关节镜  踝关节外侧不稳  临床疗效
DOI:10.3969/j.issn.1007-6948.2022.01.014
投稿时间:2021-03-17
基金项目:
Effect of Jintiange(金天格) Capsule Assisted Arthroscopy in the Treatment of Lateral Ankle Instability and Influence on Joint Fluid
HU Xiao-bin
Department of Orthopedics, Affiliated Hospital of Nankai University Tianjin Fourth Hospital, Tianjin 300222, China
Abstract:
Objective To explore the clinical effect of Jintiange(金天格 ) Capsule assisted ankle arthroscopy in the treatment of lateral ankle instability (LIA) and its influence on joint fluid. Methods 40 LIA patients who received treatment in hospital from January 2016 to January 2019 were included in the experimental study. The imaging measurement results, ankle joint function, ankle pain, lower limb function, lower limb motor score and joint fluid index were compared and analyzed by retrospective analysis. Results The results of image measurement: the postoperative talar tilt angle and talus forward movement were lower than those before operation (P<0.05). Ankle function: the scores of postoperative pain, function and force line were significantly higher than those before operation (P<0.05). Condition of ankle joint and knee joint: the VAS and Tegner scores of postoperative pain were significantly lower than those before operation, and Karlsson-Peterson ankle was also significantly
Key words:  Jintiange Capsule  ankle arthroscopy  lateral ankle instability  clinical efficacy

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