肩关节镜微创手术治疗肩袖钙化性肌腱炎所致急症肩痛  

Arthroscopic minimally invasive operation for the treatment of acute shoulder pain due to calcific tendinitis of the rotator cuff

作　　者：高绪仁[1] 李洪伟[1] 葛保健[1] 朱亚平[1] 赵德勇[1] 蒋健[1] 刘勇[1] 王业华[1] 郭开今[1] 

机构地区：[1]徐州医学院附属医院骨科,江苏徐州221002

出　　处：《徐州医学院学报》2013年第11期747-749,共3页Acta Academiae Medicinae Xuzhou

基　　金：江苏省麻醉学重点实验室、江苏省麻醉与镇痛应用技术重点实验室开放课题（2011）;徐州医学院院长基金（2010）;徐州市科技局课题（2009）

摘　　要：目的 探讨肩关节镜微创手术病灶清理治疗肩袖钙化性肌腱炎（calcific tendinitis）所致急症肩痛的临床疗效.方法 2013年1月-2013 年6月对12 例肩袖钙化性肌腱炎所致急症肩痛患者行肩关节镜微创病灶清理术.术前患侧肩关节行正位X片、CT及MRI检查.分别于术前1天、术后第1天、末次随访时采用UCLA肩关节评分标准及疼痛视觉模拟评分（visual analog scale,VAS）进行评价.结果 手术前1天、术后第1天、末次随访（末次随访时间5~10个月,平均6个月）时的UCLA评分、VAS评分与术前相比差异有统计学意义（P〈0.01）.肩关节评分优10例,良2 例.结论 肩关节镜微创手术是治疗肩袖钙化性肌腱炎所致急症肩痛安全并行之有效的方法.Objective To evaluate the clinical effect of arthroscopic minimally invasive operation for the treatment of acute shoulder pain due to calcific tendinitis of the rotator cuff. Method From January 2013 to June 2013, 12 patients （2 male and 10 female with an average age of 48.6 years） with acute shoulder pain due to caleifie tendinitis of the rotator cuff were treated with arthroscopic minimally invasive operation for the removal of calcific deposits. X ray, CT and MRI examinations were performed on the affected shoulder joint before operation. The patients were evaluated with UCLA sco- ring system and visual analog scale （ VAS ） at 1 day before operation, 1 day after operation and at final follow - up. Result Compared with 1 day before operation, UCLA scores and VAS at 1 day after operation and at final follow - up were significantly improved （P 〈 0.01 ）. The assessment of shoulder function showed excellent in 10 cases and good in 2 cases. Conclusion Arthroseopic minimally invasive operation is an safe and effective treatment for acute shoulder pain due to caleific tendinitis of the rotator cuff.

关 键 词：肩关节 肩袖 钙化性肌腱炎 肩痛 肩关节镜手术 

分 类 号：R686[医药卫生—骨科学]