摘要
[目的]比较两种关节镜松解范围治疗原发性冻结肩(primary frozen shoulder,PFS)的临床效果。[方法]回顾性分析2018年1月-2020年5月本科收治的59例单侧PFS患者的临床资料,根据医患沟通结果,37例行关节镜下前方松解治疗(前侧松解组),22例行关节镜下360°松解治疗(3600松解组)。比较两组围手术期及随访结果。[结果]两组患者均顺利完成手术,术中无严重并发症。前侧松解组手术时间和住院时间均显著优于360°松解组(P<0.05)。随时间推移,两组患者VAS评分显著下降(P<0.05),而Constant-Murley评分,以及外展、外旋、前屈和内旋ROM均显著增加(P<0.05)。相应时间点,两组间上述指标的差异均无统计学意义(P>0.05)。[结论]关节镜下前侧松解能够取得与360°松解近似的临床效果,且手术创伤小。
[Objective]To compare the clinical outcomes of two arthroscopic release ranges for primary frozen shoulder(PFS).[Methods]A retrospective study was done on 59 patients who received surgical treatment for unilateral PFS in our hospital from January 2018 to May 2010.According to doctor-patient communication results,37 patients had arthroscopic anterior release(AR group),while the remain-ing 22 patients underwent arthroscopic 360° release(360° group).The perioperative period and follow-up results of the two groups were compared.[Results]All patients in both groups had operation completed successfully without serious complications.The AR group proved significantly superior to the 360°group in terms of operation time and hospital stay(P<0.05).The VAS scores decreased significantly(P<0.05),whereas the Constant-Murley score,as well as abduction,external rotation,forward extension,and internal rotation ROMs increased significantly over time in both groups(P<0.05).At the corresponding time points,there was no significant difference in the above indexes between the two groups(P>0.05).[Conclusion]Arthroscopic anterior release does achieve similar clinical results with 360°release for PFS,whereas has a benefit of less surgical trauma.
作者
陆必波
何芳
卢家春
王锐
潘玉婷
陈佳佳
LU Bi-bo;HE Fang;LU Jia-chun;WANG Rui;PAN Yu-ting;CHEN Jia-jia(Department of Rehabilitation Medicine,Chengdu Eighth People's Hospital,Chengdu 610000,China;Department of Rehabilitation Medicine,Chengdu Fifth People's Hospital,Chengdu 611130,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2022年第9期854-857,共4页
Orthopedic Journal of China
基金
四川省自然科学基金项目(编号:A-201809)。
关键词
原发性冻结肩
关节镜术
松解
primary frozen shoulder
arthroscopy
release
