早期行肘关节置换对类风湿关节炎肘关节畸形的影响

摘要

目的 探讨人工肘关节置换对类风湿关节炎肘关节畸形患者在改善临床症状、提高生活质量、促进功能恢复和提高患者满意率等方面的影响.方法 从2013年7月-2016年10月,37例类风湿关节炎初次行人工肘关节置换术的患者,随访35例患者,随访时间:平均24.6个月.女26例,男9例,平均年龄47.63岁.对其影像学和临床效果进行评价分析,并根据Mayo肘关节评分系统进行评分.结果分析Mayo肘关节评分结果,肘关节置换在术后2周、3月、术后1年与术前比较,差异有统计学意义(P<0.05),Mayo肘关节评分系统评分从术前平均56.4分,提高到术后的2周67.2分、术后1月的71.3分、术后1年的86.3分.结论类风湿关节炎患者肘关节Morrey分期III-IV期的患者早期行人工肘关节置换能显著改善患者肘关节功能,提高生活质量.%Objective To explore the effect of artificial elbow replacement on the improvement of clinical symptoms, quality of life, functional recovery and satisfaction rate in patients with rheumatoid arthritis.Methods From July 2009 to December 2016, 37 patients with rheumatoid arthritis underwent artificial elbow arthroplasty for the first time. 35 patients were followed up for an average of 24.6 months. There were 26 females and 9 males with an average age of 47.63 years. The imaging and clinical effects were evaluated and evaluated according to the Mayo elbow scoring system.Results Mayo elbow score: the elbow joint replacement group in the postoperative 2 weeks, 3 months, 1 year after surgery compared with preoperative, the difference was statistically significant (P<0.05), Mayo elbow scoring system average score from 56.4 points to 67.2 points two weeks after surgery, 71.3 points after January, and 86.3 points after 1 year.Conclusion Patients with rheumatoid arthritis in the elbow Morrey stage Ⅲ-Ⅳ patients with early artificial elbow replacement can significantly improve patient elbow function and improve quality of life.