关节镜下松解术治疗冻结肩疗效观察  

Clinical observation of arthroscopic treatment of frozen shoulder

作　　者：马亮[1] 许永涛[1] 佘远举[1] 

机构地区：[1]湖北省荆州市中心医院骨3科,荆州湖北434020

出　　处：《生物骨科材料与临床研究》2017年第5期26-28,I0002,共4页Orthopaedic Biomechanics Materials and Clinical Study

摘　　要：目的观察关节镜下粘连松解术治疗冻结肩的临床疗效。方法 2014年1月至2015年12月,对23例冻结肩患者,原发性18例、继发性5例,进行关节镜下粘连松解。术前、术后根据VAS疼痛评分及Constant肩关节功能评分评价治疗效果。结果 23例患者全部随访,平均随访16个月(12~30个月)。在术后1、3、12月时疼痛评分(2.5±0.95),(1.3±0.54),(1.0±0.42)分,较术前(6.5±2.31)分明显降低,肩关节功能评分(78.6±4.61),(80.6±3.99),(85.5±4.45)分,均高于术前(30.6±3.63)分,差异具有统计学意义(<0.05)。结论采用关节镜下粘连松解治疗原发性及继发性冻结肩,创伤小,恢复快,疗效可靠。Objective To observe the clinical effect of arthroscopic capsular release treatment of frozen shoulder. Methods From January 2014 to December 2015, 23 cases of frozen shoulder patients, including primary 18 cases, secondary 5 cases were treated with arthroscopic capsular release. The VAS pain score and Constant shoulder function score were used to assess the treatment effect. Results All the patients were followed up for an average of 16 months （12 to 30 months）. At 1 month, 3months, 1 year after surgery, the pain VAS score were 2.5±0.95, 1.3±0.54, 1.0±0.42 which were significantly lower than preoperative which was 6.5±2.31,the difference was statistically significant （P〈0.05）. The score of the shoulder joint function were 78.6±4.61, 80.6±3.99, 85.5±4.45 at 1 month, 3 months, 1 year after surgery which were higher than preoperative which was 30.6±3.63, the difference was statistically significant （P〈0.05）. Conclusion The treatment of frozen shoulder by arthroscopic capsular release is an ideal method, which has the advantages of rapid recovery, less trauma, fewer complications.

关 键 词：冻结肩 粘连性关节囊炎 滑囊炎 关节镜下关节囊松解 

分 类 号：R687.4[医药卫生—骨科学]