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出 处:《安徽医学》2013年第12期1802-1804,共3页Anhui Medical Journal
摘 要:目的探讨肩峰下撞击综合征(SIS)应用关节镜肩峰下间隙减压术(ASD)治疗的方法与疗效。方法应用ASD治疗SIS患者15例。所有患者行肩关节正位和冈上肌出口位X线片检查,依据Bigliani分型,II型10例,III型5例;MRI检查合并肩袖损伤10例,同时镜下行肩袖缝合术。结果随访3~12个月,采用Constant-Murley评分标准进行评价,优5例,良8例,可2例,优良率为86.67%。术前评分平均为55.27分,术后为86.00分,两者差异有统计学意义(t=7.45,P<0.01)。结论 SIS应用ASD治疗疗效显著,创伤小、术后并发症少。Objective To discuss the methods and the clinical effect of subacromial impingement syndrome treated by ASD. Methods Fifty cases of subacromial impingement syndrome were treated by ASD. All cases were examined with X - ray of obverse shoulder and outlet supraspinatus muscle; there were 10 cases at type II and 5 cases at type III according to Biglianig typing; All cases were examined with MRI ; there were 4 cases together with rotator cuff injury, underwent simultaneously arthroscopic suture of the rotator cuff. Results The follow up lasted for 3 to 24 months. The results were excellent in 5 cases , good in 8 case and fair in 2 cases according to the Constant - Murley standard scale. Significantly statistical difference between preoperative Constant - Murley score and postoperative Constant - Murley score was 55.27 and 86, respectively ( t = 7.45,P 〈 0. 01 ). Conclusion Subacromial impingement syndrome treated by ASD have improved the clini- cal efficacy with minimal trauma and fewer complications.
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