肩关节镜下肩峰成形术治疗肩峰下撞击综合征的效果分析  

Effect analysis of arthroscopic acromioplasty in the treatment of subacromial impingement syndrome

作　　者：李澳 王喆敏 王勤 刘拴[1] LI Ao;WANG Zhemin;WANG Qin;LIU Shuan(Department of Orthopedics and Arthrology,Tianyou Hospital affiliated to Wuhan University of Science and Technology,Wuhan,Hubei 430000,China)

机构地区：[1]武汉科技大学附属天佑医院关节骨科,430000

出　　处：《临床外科杂志》2024年第12期1310-1313,共4页Journal of Clinical Surgery

摘　　要：目的 分析肩关节镜下肩峰成形术治疗肩峰下撞击综合征的疗效。方法 2018年8月~2022年8月期间收治的100例SIS病人为观察组,均实施肩关节镜下肩峰成形术,同期实施保守治疗的100例病人为对照组。比较观察组病人术前及术后不同时间美国加州大学肩关节评分(UCLA)、美国肩肘外科协会评分(ASES)、复旦大学肩关节功能评分(FUSS)、并发症发生情况。比较对照组和观察组短期疗效。结果 全部病人接受12个月的随访。观察组术后并发症发生率较低;观察组病人短期疗效明显高于对照组(P<0.05);术后1个月、6个月、12个月观察组病人UCLA、ASES、FUSS评分均高于术前,差异有统计学意义(P<0.05)。结论 肩关节镜下肩峰成形术治疗肩峰下撞击综合征有较好的短期疗效。Objective To analyze the effect of arthroscopic acromioplasty on subacromial impingement syndrome.Methods 100 SIS patients admitted to our joint surgery department from August 2018 to August 2022 were selected as the observation group,all of whom underwent shoulder arthroscopic acromioplasty.Additionally,100 patients who underwent conservative treatment during the same period were selected as the control group.Compare the University of California Shoulder Score(UCLA),American Association of Shoulder and Elbow Surgeons Score(ASES),Fudan University Shoulder Function Score(FUSS),incidence of complications,and short-term efficacy between the control and observation groups at different times before and after surgery in the observation group.Results All patients will undergo a follow-up period of 12 months.The incidence of postoperative complications in the observation group was relatively low;The short-term efficacy of the observation group was significantly higher than that of the control group(P<0.05);At 1 month,6 months,and 12 months after surgery,the UCLA,ASES,and FUSS scores of the observation group patients were significantly higher than the preoperative scores of the above indicators(P<0.05).Conclusion Arthroscopic acromioplasty in the treatment of subacromial impingement syndrome has a good short-term effect.

关 键 词：镜下探查 滑膜清理 肩峰成形术 肩峰下撞击综合征 美国肩肘外科协会评分 

分 类 号：R68[医药卫生—骨科学]