同期实施肩关节镜下松解术和肩袖修复术对肩袖损伤合并肩周炎患者的效果分析  

Effect Analysis of Simultaneous Shoulder Arthroscopic Release Surgery Combined with Rotator Cuff Repair Surgery in Patients with Rotator Cuff Injury Combined with Shoulder Periarthritis

作　　者：蔡跃 CAI Yue(Department of Joint Surgery,Ju County People’s Hospital,Rizhao 276800,China)

机构地区：[1]山东省莒县人民医院关节外科,山东日照276800

出　　处：《中国伤残医学》2024年第24期18-21,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨肩袖损伤合并肩周炎患者同期实施肩关节镜下松解术与肩袖修复术的治疗效果。方法:选取2021年7月—2024年2月莒县人民医院收治的84例肩袖损伤合并肩周炎患者为研究对象,采用随机数表法分为对照组及研究组,每组42例。对照组采用肩关节镜下单纯肩袖修复术治疗,研究组同期实施肩关节镜下松解术结合肩袖修复术治疗。对比两组肩关节活动度、肩关节功能、肩关节疼痛程度及术后并发症发生情况。结果:术后,研究组的前屈活动度、外展活动度、外旋活动度、内旋活动度分别为(162.80±9.45)°、(167.46±8.25)°、(54.69±5.14)°、(50.85±5.78)°,均高于对照组的(104.28±7.72)°、(108.24±7.36)°、(32.76±4.38)°、(35.97±5.13)°,差异均有统计学意义(P<0.05)。术后,研究组的Constant-Murley肩关节功能评定量表评分为(82.38±6.09)分,高于对照组的(68.74±5.65)分,差异有统计学意义(P<0.05)。术后,研究组的疼痛视觉模拟评分法评分为(2.15±0.43)分,低于对照组的(3.94±0.82)分,差异有统计学意义(P<0.05)。研究组的术后并发症发生率为9.52%,低于对照组的14.29%,但两组检比较,差异无统计学意义(P>0.05)。结论:肩袖损伤合并肩周炎患者同期实施肩关节镜下松解术与肩袖修复术,可有效恢复肩关节功能,缓解疼痛感,且减少术后并发症。Objective:To investigate the effect of simultaneous shoulder arthroscopic release surgery and rotator cuff repair surgery in patients with rotator cuff injury combined with shoulder periarthritis.Methods:A total of 84 patients with rotator cuff injury combined with shoulder periarthritis admitted to Ju County People’s Hospital from July 2021 to February 2024 were selected as the study objects,and were divided into a control group and a study group by random number table method,with 42 cases in each group.The control group was treated with shoulder arthroscopic rotator cuff repair surgery alone,and the study group was treated with simultaneous shoulder arthroscopic release surgery combined with rotator cuff repair surgery.The shoulder motion,shoulder function,shoulder pain degree and postoperative complications were compared between the two groups.Results:After surgery,the range of flexion,abduction,external rotation and internal rotation in the study group were(162.80±9.45)°,(167.46±8.25)°,(54.69±5.14)°and(50.85±5.78)°,respectively,which were higher than(104.28±7.72)°,(108.24±7.36)°,(32.76±4.38)°,(35.97±5.13)°in the control group,and the differences were statistically significant(P<0.05).After surgery,the Constant-Murley shoulder function rating scale score of the study group was(82.38±6.09)points,which was higher than(68.74±5.65)points of the control group,and the difference was statistically significant(P<0.05).After surgery,the pain visual analogue scale score of the study group was(2.15±0.43)points,which was lower than(3.94±0.82)points of the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the study group was 9.52%,which was lower than 14.29%in the control group,but there was no statistical significance between the two groups(P>0.05).Conclusions:Simultaneous shoulder arthroscopic release surgery and rotator cuff repair surgery in patients with rotator cuff injury combined with shoulder periarthritis can effectively re

关 键 词：肩袖损伤 肩周炎 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]