頁籤選單縮合
題 名 | Kienbock's Disease in Chinese=Kienbock's氏病--月狀骨軟化症 |
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作 者 | 陳文顯; 施俊雄; 趙恩塏; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 21:3 1988.05[民77.05] |
頁 次 | 頁293-301 |
分類號 | 416.26 |
關鍵詞 | kienbock's氏病; 月狀骨軟化症; |
語 文 | 英文(English) |
中文摘要 | Kienbock氏病在國人甚為罕見。從1976年至1985年,我們共經驗了14例Kienbock氏病,其中10例的尺骨變異(Ulnar Uarince)為負數(即尺骨相對的較短於撓骨)。我們以疼痛、運動範圍、握力、功能障礙、X一光檢查等項目分別計分,以評估病情的進行及治療的效果;在此計分法中,正常手腕為0分,有嚴重疼痛、僵硬、握力喪失、功能障礙、及X一光變化為16分。7位接受保守療法的病例中,有5位在追踪2至5年期間,病情惡化;但臨床計分增至9至12分時,即停止惡化。另7位接受手術的病人(月狀骨切除術1位,撓骨月狀骨固定術2位,Silastic置換術4位),其病情都得到改善;術後追踪2至7年,其平均臨床計分自12.6分降為8分。從我們有限的經驗,我們建議。對於症狀較輕,臨床計分在8分以下的病人,不宜實施以上三種手術。 |
英文摘要 | Fourteen Chinese patients with Kienbock's disease were found in Taiwan during the past 10 years and of these ulnar minus variance was found in 10. A score system based on pain, range of motion, grip strength, functional disability, and radiological findings was suggested to evaluate the severity and progression of Kienbock's disease. Seven patients had been treated nonoperatively, and a tendency toward deterioration was observed in five of them. The other seven patients were treated operatively by lunate excision with dorsal flap arthroplasty in one, radiolunate arthrodesis in two and lunate excision with silastic implant replacement in four. Good results with an average score of eight could be achieved after the above procedures. These procedures, which violate the carpal bones, are not recommended in patients of Kienbock's disease with milder symptoms and signs or at earlier stages with clinical scores less than eight. |
本系統中英文摘要資訊取自各篇刊載內容。