关节镜手术治疗创伤性复发性肩关节前脱位的临床效果分析  

Analysis of Clinical Effect of Arthroscopic Surgery for Traumatic Recurrent Anterior Shoulder Dislocation

作　　者：邓贵殿 蓝瑞鸿 黄美芹 赖煌杰 DENG Guidian;LAN Ruihong;HUANG Meiqin;LAI Huangjie(The second Department of Surgery,Zhangzhou Second Hospital,Zhangzhou 363100,Fujian,China;Outpatient De-partment,Zhangzhou Second Hospital,Zhangzhou 363100,Fujian,China;Department of Orthopaedics,Zhangzhou Second Hospital,Zhangzhou 363100,Fujian,China)

机构地区：[1]漳州市第二医院外二科,福建漳州363100 [2]漳州市第二医院门诊,福建漳州363100 [3]漳州市第二医院骨科,福建漳州363100

出　　处：《中外医疗》2024年第20期37-41,共5页China & Foreign Medical Treatment

摘　　要：目的探析采用关节镜辅助治疗肩关节前脱位的临床治疗效果及对改善肩关节功能,降低手术不良预后的应用价值。方法随机选取2022年6月—2023年6月于漳州市第二医院接受治疗的40例肩关节前脱位患者为研究对象,采用电脑随机自动编号(1~40)后分为两组,每组20例;单号纳入对照组,行传统手术治疗;双数纳入研究组,于关节镜辅助下行手术治疗。比较两组治疗后的肩关节功能、手术和临床指标、并发症发生率、短期不良预后发生率。结果治疗前,两组肩关节活动度、稳定性、功能比较,差异无统计学意义(P均>0.05);治疗后,研究组的肩关节活动度、稳定性、功能评分高于对照组,差异有统计学意义(P均<0.05)。研究组术后住院时间、术中出血量优于对照组,差异有统计学意义(P均<0.05)。研究组术后并发症发生率(5.00%)低于对照组(30.00%),差异有统计学意义(P<0.05);研究组短期不良预后发生率低于对照组,差异有统计学意义(P<0.05)。结论采用基于关节镜指导下的微创手术治疗肩关节前脱位,可明显改善患者肩关节功能,增加关节稳定性,同时手术出血量更少,可缩短术后住院时间,减少并发症,并且可改善患者术后短期预后情况。Objective To explore the clinical effect of arthroscopic surgery treatment of anterior shoulder dislocation and its application value in improving shoulder joint function and reducing adverse prognosis after surgery.Methods 40 patients with anterior shoulder dislocation who received treatment in Zhangzhou Second Hospital from June 2022 to June 2023 were randomly selected as the study objects.They were randomly numbered by computer(1-40)and divided into two groups,with 20 cases in each group.The single number was included in the control group,and traditional surgery was performed.Even numbers of patients were included in the study group for arthroscopic assisted descending surgery.The shoulder joint function,surgical and clinical indexes,complication rate and short-term adverse prognosis rate were compared between the two groups after treatment.Results Before treatment,there was no significant difference in the mobility,stability and function of shoulder joint between the two groups(all P>0.05).After treatment,the scores of shoulder motion,stability and function of the study group were higher than those of the control group,and the differences were statistically significant(all P<0.05).Postoperative hospitalization time and intraoperative blood loss in the study group were better than those in the control group,and the differences were statistically significant(both P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The short-term adverse prognosis in the study group was 5.00%,which was significantly lower than that in the control group(20.00%),the difference was statistically significant(P<0.05).Conclusion Minimally invasive surgery under the guidance of arthroscope for the treatment of anterior dislocation of shoulder can significantly improve the function of shoulder joint,increase joint stability,reduce surgical bleeding,shorten postoperative hospital stay,reduce complications,and improve the

关 键 词：关节镜手术 关节功能 肩关节前脱位 预后 

分 类 号：R4[医药卫生—临床医学]