关节镜下360°关节囊松解治疗黏连性肩关节囊炎  

Arthroscopic 360°Capsular Release for Adhesive Capsulitis of Shoulder

作　　者：王微[1] 李红川[1] 李剑[1] 石立田 康汇[1] Wang Wei;Li Hongchuan;Li Jian;Shi Litian;Kang Hui(Department of Shoulder and Elbow of Sports Medicine,Honghui Hospital,Xi'an Jiaotong University,Xi'an 710054,China)

机构地区：[1]西安交通大学附属红会医院运动医学诊疗中心肩肘病区,陕西西安710054

出　　处：《实用骨科杂志》2023年第2期102-105,共4页Journal of Practical Orthopaedics

摘　　要：目的研究关节镜下360°关节囊松解治疗黏连性肩关节囊炎的临床疗效。方法回顾性研究分析2015年1月至2019年1月93例黏连性肩关节囊炎患者临床资料,男34例,女59例;年龄40~75岁,平均(56.5±3.5)岁,均应用关节镜下360°关节囊松解治疗。记录术前及末次随访时肩关节活动度和疼痛视觉模拟评分(visual analogue score,VAS)进行肩关节功能评价,以Likert量表评价患者肩关节恢复总体满意度。结果93例患者均按时完成随访,随访时间12~36个月,平均(18.3±4.3)个月。术前症状持续6~25个月,平均(9.2±3.5)个月。术后无神经损伤和感染等并发症,末次随访时肩关节主被动前屈(135.0±8.2)°,外展(128.0±4.5)°,外旋(63.2±6.4)°,内旋(63.5±7.8)°;平均VAS评分(0.9±0.3)分;肩关节恢复满意度为75.3%,均较术前明显改善(P<0.05)。结论关节镜下360°关节囊松解治疗黏连性肩关节囊炎有效、安全,能够减轻疼痛,改善肩关节活动度,对于黏连性肩关节囊炎是一种可供选择的手术松解方法,值得临床推广。Objective To investigate the outcomes after arthroscopic 360°capsular release for adhesive capsulitis of shoulder.Methods A retrospective case series of 93 patients who underwent arthroscopic 360°capsular release were conducted from January 2015 to 2019.There were 34 males and 59 females.The mean age was(56.5±3.5)years.Arthroscopic 360°capsular release was performed in all patients.The range of motion of the shoulder and visual analogue score(VAS)were recorded before and after operation to evaluate the shoulder function.Likert scales were used to rank overall shoulder satisfaction.Results 93 patients completed a follow-up of 12~36,with an average of(18.3±4.3)months,with the duration of symptoms of 6~25(9.2±3.5)months.There were no complications such as nerve injury and infection after operation,the mean forward flexion,abduction,external rotation and internal rotation were(135.0±8.2)°,(128.0±4.5)°,(63.2±6.4)°and(63.5±7.8)°.The mean VSA was(0.9±0.3)score,the overall shoulder satisfaction was 75.3%which improved significantly(P<0.05).Conclusion Arthroscopic 360°capsular release for adhesive capsulitis of shoulder is effective and safe.It can relieve the pain and improve the shoulder range of motion,which is an available operation way for adhesive capsulitis of shoulder and worth for clinical application.

关 键 词：黏连性肩关节囊炎 关节镜 360°关节囊松解 

分 类 号：R684.3[医药卫生—骨科学]