目的:分析肘关节镜术后患者并发症的原因和相关因素。方法:回顾性研究自2006年1月至2012年12月间接受肘关节镜治疗、随访时间超过6个月的患者196人共205例患肘,分析年龄、性别、疾病持续时间、病种等因素与并发症的相关性。结果:出现并发症的患者共22例,发生率10.7%,男性16例,女性6例,平均年龄为45.3岁(28~63岁)。其中,关节活动受限16例,类风湿滑膜炎4例,单纯游离体1例,肘三联征1例。患者年龄、性别、疾病持续时间等因素与并发症的发生并无显著相关性,但类风湿滑膜炎的患者术后更易出现并发症。结论:肘关节镜虽然是一项安全有效的治疗手段,但应尽量降低并发症的发生。
Objective To analyze the causes and relevant factors of the clinical complications after the elbow arthroscopy. Method From January 2006 to December 2012,205 patients were treated by the elbow arthroscopy in our hospital and followed up for more than 6 months. The relation of clinical complications to the age ,sex ,and symptoms duration of patients were analyzed. Results 22 patients of 205 (including 16 males and 6 females)had clinical complications(10.7%). Their average age was 45.3 + 16.4 years(ranging from 28 to 63 years). The clinical complications included 16 cases of stiffness,4 cases of rheumatoid synovitis, 1 case of loose body and 1 case of triad symptom. There was no significant correlation between complications and age,sex and symptom duration. However,patients with rheumatoid synovitis were vulnerable to be suffered from clinical complications after the surgery. Conclusion Elbow arthroscopy is a safe and effective procedure for treating elbow injury ,but effort should be made to decrease the occurrence of clinical complications.