摘要
目的 探究关节镜下松解联合肩袖修复术治疗肩袖损伤合并继发性冻结肩的效果。方法 利用随机数字表法将从本院本科2020年1月至2022年1月收治的60例肩袖损伤合并继发性冻结肩患者分为对照组(30例,手法松解联合肩袖修复术治疗)与观察组(30例,关节镜下松解联合肩袖修复术治疗),并对其临床治疗效果进行观察比较。结果 观察组临床总有效率93.33%,高于对照组73.33%(P <0.05)。观察组手术时间(58.88±10.14)min、术后住院时间(6.36±1.98)d,短于对照组(72.54±10.05)min、(10.05±2.56)d,术中出血量(59.65±9.84)mL少于对照组(84.48±9.22)m L(P <0.05)。观察组肩关节外展、前屈、内旋、后伸、外旋活动度(124.96±10.05)°、(136.22±9.58)°、(54.04±5.98)°、(42.16±4.06)°、(48.25±4.24)°高于对照组(98.35±10.76)°、(105.85±8.63)°、(40.88±6.78)°、(34.71±6.15)°、(37.44±5.12)°(P <0.05);观察组肌肉力量(31.14±3.47)kg高于对照组(26.36±3.24)kg(P <0.05);观察组术后30 d、90 d、120 d疼痛得分(4.05±0.44)分、(3.02±0.27)分、(2.11±0.34)分低于对照组(5.69±0.36)分、(4.14±0.36)分、(3.62±0.25)分(P <0.05);观察组肩关节功能(ASES/Constant-Murley)得分(81.18±7.47)分、(84.47±9.44)分高于对照组(76.77±7.36)分、(77.95±9.58)分(P <0.05);两组术后并发症发生率差异无统计学意义(P> 0.05)。结论 肩袖损伤合并继发性冻结肩采用关节镜下松解联合肩袖修复术治疗可获取较好治疗效果。该疗法相对于手法松解联合肩袖修复术治疗而言,具备术中出血量上、术后康复速度快等优势,在患者肩关节活动度、肩关节功能、肌肉力量、术后疼痛缓解等改善方面存在,且安全水平较高值得推广使用。
Objective To investigate the effect of arthroscopic release combined with rotator cuff repair in the treatment of rotator cuff injury with secondary frozen shoulder.Methods A total of 60 patients with rotator cuff injury and secondary frozen shoulder admitted from January 2020 to January 2022 in our hospital were randomly divided into the control group(30 cases,manual release combined with rotator cuff repair)and the observation group(30 cases,arthroscopic release combined with rotator cuff repair),and their clinical therapeutic effects were observed and compared.Results The total effective rate of the observation group was 93.33%,higher than that of the control group(73.33%)P<0.05.The operation time(58.88±10.14)min,postoperative hospital stay(6.36±1.98)d of the observation group were shorter than those in the control group(72.54±10.05)min,(10.05±2.56)d.The intraoperative bleeding volume(59.65±9.84)mL of the observation group was lower than that in the control group(84.48±9.22)mL(P<0.05).The shoulder joint abduction,forward flexion,internal rotation,backward extension and external rotation range of motion(124.96±10.05)°,(136.22±9.58)°,(54.04±5.98)°,(42.16±4.06)°,(48.25±4.24)°of the observation group were higher than those of the control group(98.35±10.76)°,(105.85±8.63)°,(40.88±6.78)°,(34.71±6.15)°,(37.44±5.12)°(P<0.05).The muscle strength of the observation group was(31.14±3.47)kg,higher than the control group[(26.36±3.24)kg](P<0.05).The pain scores(4.05±0.44),(3.02±0.27)and(2.11±0.34)on the 30th,90th and 120th days after operation of the observation group were lower than those of the control group(5.69±0.36),(4.14±0.36)and(3.62±0.25)(P<0.05).The scores of ASES/Constant Murley(81.18±7.47)and(84.47±9.44)of the observation group were higher than those of the control group(76.77±7.36)and(77.95±9.58)(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion Arthroscopic release combined with rotator cuff
作者
颜来鹏
YAN Laipeng(Fujian Provincial Hospital,Fuzhou 350000,China)
出处
《中国医药指南》
2022年第33期25-28,共4页
Guide of China Medicine
关键词
肩袖修复术
肩袖损伤
关节镜下松解术
冻结肩
临床疗效
Shoulder sleeve repair
Shoulder sleeve damage
Arthroscopic release
Frozen shoulder
Clinical efficacy
