关节镜手术治疗创伤性复发性肩关节前脱位的临床效果  

Effect of arthroscopy in the treatment of traumatic recurrent anterior dislocation of shoulder joint

作　　者：李正南 王一海 杨康骅[1] 邓刚[1] 蔡幸健[1] 朱道信[1] 肖诗梁[1] LI Zheng-nan;WANG Yi-hai;YANG Kang-hua;DENG Gang;CAI Xing-jian;ZHU Dao-xin;XIAO Shi-liang(Department of Sports Medicine,Ganzhou People′s Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院运动医学科,江西赣州341000

出　　处：《中国当代医药》2020年第6期82-85,共4页China Modern Medicine

摘　　要：目的探讨关节镜手术治疗创伤性复发性肩关节前脱位的临床效果。方法选取我院2017年1月~2019年1月收治的68例创伤性复发性肩关节前脱位患者作为研究对象,按照抛硬币法分为对照组(34例)与观察组(34例)。对照组采用常规手术治疗,观察组采用关节镜手术治疗。比较两组患者治疗后的视觉模拟量表(VAS)评分、肩关节恢复功能评分(Rowe)。结果观察组的VAS评分低于对照组,差异有统计学意义(P<0.05)。观察组的活动度、稳定性、功能恢复Rowe评分高于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论给予创伤性复发性肩关节前脱位患者关节镜手术治疗,能有效降低患者术后疼痛感,加快患者术后肩关节功能恢复速度,有助于改善患者生活质量。Objective To investigate the clinical effect of arthroscopic surgery for traumatic recurrent anterior shoulder dislocation.Methods Sixty-eight patients with traumatic recurrent anterior shoulder dislocation who underwent surgery from January 2017 to January 2019 in our hospital were enrolled.The patients were divided into the control group(34 cases)and the observation group(34 cases)according to the coin-throwing method.The control group was treated with conventional surgery and the observation group was treated with arthroscopic surgery.Post-treatment visual anglogue scale(VAS)scores and shoulder joint recovery function scores(Rowe)were compared between the two groups.Results The VAS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The Rowe score of activity,stability,functional recovery of the observation group was higher than those of the control group,and the differences were statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Arthroscopic treatment for patients with traumatic recurrent anterior dislocation of shoulder joint can effectively reduce postoperative pain,speed up postoperative recovery of shoulder joint function,and improve patients'quality of life.

关 键 词：关节镜手术 创伤性复发性肩关节前脱位 疼痛评分 功能恢复评分 

分 类 号：R687.3[医药卫生—骨科学]