踝关节镜手术治疗前踝撞击综合征的临床疗效分析.docxVIP

踝关节镜手术治疗前踝撞击综合征的临床疗效分析 　　[摘要] 目的 分析运用踝关节镜手术治疗前踝撞击综合征的临床疗效。 方法 选取XX年～XX年期间40例诊断为前踝撞击综合征患者，随机分为A组和B组，治疗后对患者进行随访，观察治疗效果及踝关节功能状况，比较两组治疗效果的差异。 结果 随访患者12个月以上，两组患者治疗前与治疗后1个月、3个月、6个月及12个月的美国足踝外科协会踝与后足评分比较，A组明显优于B组，差异有统计学意义，特别是长期疗效明显，B组治疗后与治疗前比较，差异有统计学意义，症状明显好转，两组治??后1个月及3个月比较无明显差异，A组与B组效果都优，但治疗后6个月及12个月A组与B组比较发现有明显差异，效果A组明显优于B组。A组生活质量改善幅度大于B组，差异有统计学意义。 结论 踝关节镜手术前踝撞击综合征具有创伤小，术后康复快，对踝关节功能影响小的优点。　　[关键词] 关节镜；前踝撞击综合征；踝关节镜；手术治疗　　[中图分类号] [文献标识码] A [文章编号] 1673--0033-03　　[Abstract] Objective To analyze the clinical efficacy of ankle arthroscopic surgery in the treatment of anterior ankle impingement syndrome. Methods 40 cases diagnosed with anterior ankle impingement syndrome from XX to XX were randomly divided into group A and group B. After treatment， the patients were followed up. The therapeutic effects and ankle functional status were observed. The difference in the treatment effect was compared. Results The patients were followed up for more than 12 months. The AOFAS ankle and hindfest scores between the two groups were compared before treatment and at 1 month， 3 months， 6 months and 12 months after treatment. The scores of group A were significantly better than those of the group B， especially in the long-term curative effect. There was difference between the two groups after treatment and before treatment. The symptoms improved obviously. There was no significant difference between 1 month and 3 months after treatment in both groups . The effect of group A and group B was excellent. But at 6 and 12 months after treatment， there was significant difference between group A and group B. The effect of group A was significantly better than that of the group B. The improvement of quality of life in group A was greater than that in group B. There was statistically significant difference in the data between the groups. Conclusion Ankle arthroscopic surgery in the treatment of anterior ankle impingement syndrome has the advantages of small trauma， rapid postoperative recovery and