关节镜下松解术结合肩袖修复术治疗肩袖损伤合并冻结肩的效果观察  

Observation of therapeutic effect of arthroscopic release surgery combined with rotator cuff repair on rotator cuff injury patients complicated by frozen shoulder

作　　者：王艳波[1] 宋月巍 赵晓 Wang Yanbo;Song Yuewei;Zhao Xiao(Department of Orthopedics,Jiaozuo People’s Hospital,Jiaozuo 454000,China)

机构地区：[1]焦作市人民医院骨科,焦作454000

出　　处：《中国实用医刊》2023年第19期16-19,共4页Chinese Journal of Practical Medicine

摘　　要：目的观察关节镜下松解术(ARS)结合肩袖修复术(RCR)治疗肩袖损伤合并冻结肩的临床效果。方法抽取2019年1月至2021年12月焦作市人民医院收治的肩袖损伤合并冻结肩患者104例,按照随机数字表法分为手法松解组和ARS结合RCR组,每组52例。手法松解组采用手法松解结合关节镜下RCR治疗,ARS结合RCR组采用ARS结合RCR治疗。比较两组围术期指标、疼痛程度[视觉模拟评分法(VAS)评分]、肩关节功能[美国加州大学肩关节评分量表(UCLA)评分、美国肩肘外科协会评分量表(ASES)评分]及肩关节活动度。结果ARS结合RCR组术中出血量少于手法松解组,手术操作时长、住院天数短于手法松解组(P<0.05)。术后1、3、6个月,ARS结合RCR组VAS评分均低于手法松解组(P均<0.05)。术后6个月,ARS结合RCR组SP、PGE2水平低于手法松解组(P<0.05);ARS结合RCR组UCLA、ASES评分高于手法松解组(P<0.05);ARS结合RCR组内旋、外旋、外展、前屈评分均高于手法松解组(P均<0.05)。结论ARS结合RCR治疗肩袖损伤合并冻结肩效果较好,可减少术中失血量,缓解疼痛程度,改善患者的肩关节活动度及肩关节功能,促进患者术后尽快康复。Objective To observe the therapeutic effect of arthroscopic release surgery(ARS)combined with rotator cuff repair(RCR)on patients with rotator cuff injury complicated by frozen shoulder.Methods A total of 104 patients with rotator cuff injury complicated by frozen shoulder treated in Jiaozuo People’s Hospital from January 2019 to December 2021 were selected,and they were divided into manual release group and ARS combined with RCR group according to random number table method,with 52 cases in each group.The manual release group was treated by manual release combined with arthroscopic RCR,and the ARS combined with RCR group was treated by ARS combined with RCR.The perioperative indicators,pain degree assessed by visual analogue scale(VAS)score,shoulder joint function assessed by University of California at Los Angeles shoulder rating scale(UCLA)score and rating scale of the American shoulder and elbow surgeons(ASES)score,and range of motion of shoulder joint were compared between the two groups.Results The intraoperative bleeding volume in the ARS combined with RCR group was less than that in the manual release group,while the operation time and hospital stay were shorter than those in the manual release group(P<0.05).The VAS score in the ARS combined with RCR group was lower than that in the manual release group 1,3 and 6 months after operation(all P<0.05).The levels of SP and PGE2 in the ARS combined with RCR group were significantly lower than those in the manual release group 6 months after operation(P<0.05).The scores of UCLA and ASES in the ARS combined with RCR group were higher than those in the manual release group 6 months after operation(P<0.05).The scores of internal rotation,external rotation,abduction and forward flexion in the ARS combined with RCR group were significantly higher than those in the manual release group 6 months after operation(all P<0.05).Conclusions The combination of ARS and RCR has a good effect in the treatment of rotator cuff injury complicated by frozen shoulder.It can reduce

关 键 词：肩袖损伤 冻结肩 关节镜下松解术 肩袖修复术 肩关节功能 

分 类 号：R687.4[医药卫生—骨科学]