全关节镜与保守疗法治疗原发性冻结肩中远期临床疗效比较  

Comparison of the mid-long term clinical efficacy of total arthroscopy and conservative treatment for primary frozen shoulder

作　　者：吴军 赵学辉[1] 阮腊林[1] WU Jun;ZHAO Xuehui;RUAN Lalin(Department of Orthopedics,Central Hospital of Xinyu Iron and Steel Group,Co.,Ltd.,Xinyu338000,China)

机构地区：[1]新余钢铁集团有限公司中心医院骨科,江西新余338000

出　　处：《中国现代医生》2021年第28期79-82,共4页China Modern Doctor

基　　金：江西省新余市科技局指导性科技计划项目(20203090873)。

摘　　要：目的探讨全关节镜与保守疗法治疗原发性冻结肩中远期临床疗效。方法本研究拟收集新余钢铁集团有限公司中心医院2018年1月至2020年1月期间诊断为原发性冻结肩的患者,运用随机数字表法分为保守治疗组20例及肩关节镜治疗组20例。对照组:保守疗法治疗。观察组:全关节镜治疗。观察视觉模拟评分(Visual Analogue Scale/Score,VAS)、肩关节功能评分、肩关节活动功能度变化情况。结果观察组治疗后1月、3月、6月、12月的VAS评分均低于对照组同时期,组间比较差异有统计学意义(P<0.05);观察组Constant-Murley评分、ASES评分、UCLA评分均高于干预前及对照组,组间比较差异有统计学意义(P<0.05);对照组干预后Constant-Murley评分、ASES评分、UCLA评分均高于干预前,组间比较差异有统计学意义(P<0.05);观察组肩关节活动功能度改善较好,外展、前屈、内收位外旋度数均高于干预前及对照组,组间比较差异有统计学意义(P<0.05);对照组干预后肩关节活动功能度改善较好,外展、前屈、内收位外旋度数均高于干预前,差异有统计学意义(P<0.05)。结论对于原发性冻结肩的患者,通过全关节镜手术治疗,患者预后较好,可以改善患者的VAS评分,恢复患者的肩关节功能。Objective To investigate the mid-long term clinical efficacy of total arthroscopy treatment versus conservative treatment in the treatment of primary frozen shoulder.Methods The patients who were diagnosed with primary frozen shoulder from January 2018 to January 2020 at the Central Hospital of Xinyu Iron and Steel Group Co Ltd,were divided by random number table into a conservative treatment group of 20 cases and a shoulder arthroscopy treatment group of 20 cases were selected and divided into the treatment group with conservative treatment(n=20)and the treatment group with shoulder arthroscopy(n=20).The control group received conservative treatment,while the observation group underwent total arthroscopy treatment.The changes in the scores of Visual Analogue Scale/Score(VAS),scores of shoulder joint function,and functional range of motion of shoulder joint were observed.Results The VAS scores at 1,3,6,and 12 months after treatment in the observation group were lower than those in the control group at the same period,with significant differences between the two groups(P<0.05).After the intervention,the Constant-Murley scores,scores of American Shoulder and Elbow Surgeons′Form(ASES),and scores of University of California at Los Angeles(UCLA)scoring system in the observation group were higher than those before the intervention and those in the control group,with significant differences between the two groups(P<0.05).The Constant-Murley scores,ASES scores and UCLA scores in the control group after the intervention were all higher than those before the intervention,with significant differences(P<0.05).In the observation group,the functional range of motion of shoulder joint was improved,and the degrees of abduction,forward flexion,as well as adduction and external rotation were all higher than those before the intervention and those in the control group,with significant differences between the groups(P<0.05).In the control group,the functional range of motion of shoulder joint was improved,and the degrees of abduct

关 键 词：全关节镜 保守疗法 原发性冻结肩 中远期临床疗效 

分 类 号：R684[医药卫生—骨科学]