肩关节镜下钙化灶清除术治疗钙化性肌腱炎的疗效分析  

Analysis on effect of shoulder arthroscopy for treating calcified tendinitis

作　　者：苏晓恩[1] 成本强[1] 罗瑞文[1] 孔志强[1] 邓海棠[1] 张震乾[1] SU Xiaoen;CHEN Benqiang;LUO Ruiwen;KONG Zhiqiang;DENG Haitang;ZHANG Zhenqian(Zhaoqing Municipal First People′s Hospital,Zhaoqing,Guangdong 526000,China)

机构地区：[1]广东省肇庆市第一人民医院,526000

出　　处：《重庆医学》2020年第6期970-972,976,共4页Chongqing medicine

摘　　要：目的研究肩关节镜下钙化灶清除术治疗钙化性肌腱炎的疗效。方法将2018年1-12月在肇庆市第一人民医院接受治疗的60例钙化性肌腱炎患者作为研究对象,根据治疗方式的不同将其分为两组,每组各30例。观察组采用肩关节镜下钙化灶清除术进行治疗,对照组采用开放式手术进行治疗,观察两组患者的治疗效果及患者肩关节功能恢复情况。结果术后6个月,观察组患者治疗有效率(90%)显著高于对照组(60%),差异有统计学意义(P<0.05);利用美国Michael Reese医疗中心肩关节功能评定表统计治疗前与治疗后6个月患者疼痛评分、肩功能评分的差异,治疗前两组无明显差异,治疗后观察组各项得分显著高于对照组,同时两组患者治疗前后的差值观察组也同样明显大于对照组,差异有统计学意义(P<0.05)。结论肩关节镜下钙化灶清除术治疗钙化性肌腱炎能显著改善患者的肩关节功能,并且同时具备微创、安全、患者术后恢复快的优势。Objective To study the effect of shoulder arthroscopy for treating calcified tendinitis.Methods A total of 60 patients with calcified tendinitis treated in the hospital from January to December 2018 were selected as the study subjects and divided into the two groups according to different treatment methods.The observation group(n=30)were treated with minimally invasive shoulder arthroscopy,while the control group(n=30)were treated with open surgery.The treatment effects and the recovery of shoulder joint function in the two groups were observed.Results The treatment effect in the two groups was followed up in postoperative 6 months.The effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(90%vs.60%,P<0.05).The differences of pain score and shoulder function in postoperative 6 months were observed by using the Shoulder Joint Function Assessment Table of Michael Reese Medical Centers in the United States and conducted the statistics,the results showed no statistical difference between the two groups.The observation group after treatment was significantly higher than the control group,meanwhile the difference value between before and after treatment in the observation group was same significantly greater than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The shoulder arthroscopy in the treatment of calcified tendinitis can significantly improve the function of shoulder joint,simultaneously possesses the advantages of minimal invasion,safeness and rapid postoperative recovery.

关 键 词：肩关节镜 钙化 肌腱炎 

分 类 号：R687.4[医药卫生—骨科学]