关节镜下肩峰成形术配合术中肩峰下间隙封闭治疗肩峰下撞击综合征的效果  

Effect of arthroscopic acromioplasty combined with intraoperative sub-acromial block in the treatment of subacromial impingement syndrome

作　　者：沈鹏[1] 白伦浩[1] 李彬[1] 

机构地区：[1]中国医科大学附属盛京医院关节,运动医学病房,辽宁沈阳116400

出　　处：《中国医药导报》2015年第15期78-80,87,共4页China Medical Herald

基　　金：国家自然科学基金项目(81272050)

摘　　要：目的：观察比较关节镜下肩峰成形术配合肩峰下间隙封闭治疗肩峰下撞击综合征的临床效果。方法将2013年5月~2014年8月中国医科大学附属盛京医院56例肩峰下撞击综合征患者随机分为实验组及对照组。实验组30例患者给予关节镜下肩峰成形术及肩峰下封闭治疗，对照组26例患者同样给予关节镜下肩峰成形术及生理盐水安慰治疗。比较两组患者的视觉模拟评分（VAS）、美国加州大学肩袖评分（UCLA）及疗效。结果术后1个月实验组VAS疼痛评分[（2.72±0.27）分]低于对照组[（3.22±0.18）分]，差异有统计学意义（P〈0.05）；实验组UCLA评分[（32.32±3.84）分]优于对照组[（31.14±3.65）分]，差异有统计学意义（P〈0.05）。术后3个月实验组VAS疼痛评分[（1.25±0.23）分]低于对照组[（2.18±0.17）分]，差异有统计学意义（P〈0.05）；实验组UCLA评分[（34.25±3.27）分]优于对照组[（33.18±3.18）分]，差异有统计学意义（P〈0.05）。结论与单独肩峰成形术比较，关节镜下肩峰成形术配合术中肩峰下间隙封闭治疗可明显提高肩峰下撞击综合征的治疗效果，可作为肩峰下撞击综合征的更有效的治疗手段。Objective To investigate the clinical effect of arthroscopic acromioplasty combined with intraoperative sub-acromial block in the treatment of subacromial impingement syndrome. Methods 56 patients with subacromial impinge-ment syndrome from May 2013 to August 2014 in Shenjing Hopital of China Medical University were divided into ex-perimental group and control group randomly. 30 cases of the experimental group were given the treatment of arthro-scopic acromioplasty combined with intraoperative subacromial block, and 26 cases of the control group were given the treatment of arthroscopic acromioplasty combined with placebo of saline. The visual analogue scale （VAS）, UCLA score and efficacy of two groups were compared. Results One months after operation, VAS score of the experimental group [（2.72±0.27） scores] was lower than that of the control group [（3.22±0.18） scores], the difference was statistically significant （P〈0.05）; the UCLA score of the experimental group [（32.32±3.84） scores] was better than that of the con-trol group [（31.14±3.65） scores], the difference was statistically significant （P〈 0.05）. 3 months after operation VAS pain score of the experimental group [（1.25±0.23） scores] was lower than that of the control group [（2.18±0.17） scores], the difference was statistically significant （P〈0.05）;the UCLA score of the experimental group [（34.25±3.27） scores] was better than that of the control group [（33.18±3.18） scores], the difference was statistically significant （P〈 0.05）. Conclusion Compared with the single arthroscopic acromioplasty, arthroscopic acromioplasty combined with intraopera-tive subacromial block therapy can improve clinical efficacy, and is a safe and efficient treatment for subacromial im-pingement syndrome.

关 键 词：封闭 关节镜检测 肩峰成形术 肩峰下撞击综合征 

分 类 号：R687.3[医药卫生—骨科学]