影响原发性冻结肩早期关节镜手术疗效的相关因素分析  

Analysis of Related Factors Influencing the Efficacy of Arthroscopic Surgery of Early Primary Frozen Shoulder

作　　者：李静[1] 李箭[1] 李鹏程[1] 唐新[1] 刘莉[1] LI Jing;LI Jian;LI Pengcheng(West China Hospital of Sichuan University, Sichuan Chengdu 610041, China)

机构地区：[1]四川大学华西医院骨科,四川成都610041

出　　处：《河北医学》2019年第4期679-683,共5页Hebei Medicine

基　　金：四川省科技厅计划项目;(编号:2017SZ0017)

摘　　要：目的:探讨影响原发性冻结肩(PFS)早期关节镜手术疗效的相关因素。方法:回顾性分析2015年5月至2018年5月我院收治的152例PFS早期患者的临床资料。根据术后4周疗效将患者分为疗效优良组(n=122)和疗效不佳组(n=30)。对各项临床资料进行单因素分析,记录影响PFS早期关节镜手术疗效的相关因素,并对其进行Logistic多元回归分析。结果:Logistic多元回归分析结果显示,糖尿病、颈椎病、发病季节、术前内后旋角度、术前肩关节评分、术后功能锻炼是影响PFS早期关节镜手术疗效的独立相关因素(P<0.05)。结论:关节镜手术治疗早期PFS的疗效较好,且与糖尿病、颈椎病、发病季节、术前内后旋角度、术前肩关节评分、术后功能锻炼等多种因素密切相关。Objective: To explore the related factors affecting the efficacy of arthroscopic surgery of early primary frozen shoulder (PFS). Methods: The clinical data of 152 patients with early PFS admitted to our hospital from May 2015 to May 2018 were retrospectively analyzed. Patients were divided into good efficacy group (n=122) and poor efficacy group (n=30) according to the efficacy at 4 w after operation. Univariate analysis was performed clinical data, and the related factors affecting the efficacy of early arthroscopic surgery for PFS were recorded, and Logistic multivariate regression analysis was performed. Results: Logistic multivariate regression analysis showed that diabetes, cervical spondylosis, disease season, preoperative internal posterior rotation angle, preoperative shoulder joint score and postoperative functional exercise were independent related factors influencing the efficacy of arthroscopic surgery of early PFS (P<0.05). Conclusions: Arthroscopic surgery is effective in the treatment of early PFS, which is closely related to many factors, such as diabetes mellitus, cervical spondylosis, onset season, preoperative internal and posterior rotation angle, preoperative shoulder joint score and postoperative functional exercise.

关 键 词：原发性冻结肩 关节镜 内后旋角度 功能锻炼 相关因素 

分 类 号：R687.4[医药卫生—骨科学]