关节镜下肩峰成形术与肩周肌群训练联合封闭治疗肩峰下撞击综合征疗效比较  

Comparison of therapeutic efficacies of arthroscopic acromioplasty and periarthritis muscle training combined with closed treatment for subacromial impingement syndrome

作　　者：温财源 陈凯宁[1] 李振宇[1] 陈志云[1] WEN Caiyuan;CHEN Kaining;LI Zhenyu;CHEN Zhiyun(Department of Orthopedic Surgery,Pu'ning People's Hospital,Guangdong,Pu'ning 515300,China)

机构地区：[1]广东省普宁市人民医院骨外科,广东普宁515300

出　　处：《中国医药科学》2021年第10期213-216,共4页China Medicine And Pharmacy

基　　金：广东省揭阳市卫生健康局医学科学技术研究立项项目和推广应用新技术新项目(揭市卫﹝2020﹞64号-54)。

摘　　要：目的探讨关节镜下肩峰成形术与肩周肌群训练联合封闭治疗肩峰下撞击综合征(SIS)疗效比较。方法回顾性分析2015年1月至2020年1月在我院治疗SIS的患者40例,根据治疗的方式分为A组(n=21)和B组(n=19)。A组患者采用关节镜下肩峰成形术治疗,B组患者采用肩周肌群训练联合封闭治疗。比较两组患者治疗前后肩峰撞击实验、视觉模拟评分(VAS)、美国加州大学肩关节评分(UCLA)。结果治疗前两组患者NEER试验、痛弧征均为阳性,差异无统计学意义(P>0.05),术后三个月两组阳性率比较,差异无统计学意义(P>0.05);术后6个月,B组肩峰撞击实验阳性率高于A组,差异有统计学意义(P<0.05);治疗前两组VAS评分差异无统计学意义(P>0.05),治疗后,两组患者VAS评分均低于治疗前,术后3个月、术后6个月A组VAS评分均低于B组VAS评分,差异有统计学意义(P<0.05);治疗前两组UCLA评分差异无统计学意义(P>0.05),治疗后,两组患者UCLA评分均高于治疗前,术后3个月、术后6个月A组UCLA评分均高于B组UCLA评分,差异有统计学意义(P<0.05)。结论关节镜下肩峰成形术治疗效果显著于肩周肌群训练联合封闭治疗,有助于减轻患者的疼痛,术后肩关节恢复快,提高患者的生活质量。Objective To investigate the therapeutic efficacies comparison of arthroscopic acromioplasty and periarthritis muscle training combined with closed treatment for subacromial impingement syndrome(SIS).Methods A total of 40 patients with SIS admitted to our hospital from January 2015 to January 2020 was retrospectively analyzed.According to the treatment methods,they were divided into group A(n=21)and group B(n=19).Group A was treated with arthroscopic acromioplasty,while group B was treated with periarthritis muscle training combined with closed treatment.The acromion impact test,visual analogue scale(VAS)and the university of California at Los Angeles shoulder rating scale(UCLA)of the two groups of patients were compared before and after treatment.Results Before treatment,NEER test and pain arc symptom were positive in both groups,and there was no statistically significant difference(P>0.05).3 months after operation,there was no statistically significant difference in the incidence of positive(P>0.05).6 months after operation,the positive incidence of impact test in group B was more than that in group A,with statistically significant difference(P<0.05).Before treatment,there was no statistically significant difference in VAS scores between the two groups(P>0.05).While after treatment,the VAS scores of both groups decreased,and the VAS scores at 3 months and 6 months after operation in group A were both lower than those in group B,with statistically significant difference(P<0.05).Before treatment,there was no statistically significant difference in UCLA scores between the two groups(P>0.05).While after treatment,the UCLA scores of both groups increased,and the UCLA scores at 3 months and 6 months after operation in group A were both higher than those in group B,with statistically significant difference(P<0.05).Conclusion Arthroscopic acromioplasty is more effective than periarthritis muscle training combined with closed treatment,which is conducive to relieving the pain of patients,recovering the shoulder joint qu

关 键 词：关节镜 肩峰成形术 肩周肌群 封闭治疗 肩峰下撞击综合征 

分 类 号：R687.4[医药卫生—骨科学]