关节镜下同期行冻结肩松解术对肩袖损伤患者的治疗效果评估

目的:评估关节镜下同期行冻结肩松解术对肩袖损伤患者的治疗效果。方法:选择2015年3月到2018年3月在我院诊治的肩袖损伤患者70例进行研究,按随机数表法将其分为观察组(n=36)和对照组(n=34)。对照组采用传统小切口肩袖修复术治疗,观察组采用关节镜下同期行冻结肩松解术进行治疗。比较两组治疗后疗效、手术时间、术中出血量、住院时间、疼痛减轻时间、治疗前后VAS、美国肩肘外科协会评分(ASES)、Contant-Muley评分的变化情况。结果:治疗后,观察组总有效率为94.44%,显著高于对照组(73.53%,P0.05);观察组手术时间、术中出血量、住院时间及疼痛减轻时间均显著低于对照组(P0.05);两组VAS、ASES、Contant-Muley评分较治疗前均显著改善(P0.05),且观察组VAS评分明显低于对照组,ASES及Contant-Muley评分显著高于对照组(P0.05)。结论:关节镜下同期行冻结肩松解术治疗肩袖损伤的临床疗效显著优于传统小切口肩袖修复术治疗,其可显著促进关节功能恢复,并减轻患者痛苦。

Therapeutic Effect of Arthroscopic Treatment with Frozen Shoulder Release on the Rotator Cuff Injury

ABSTRACT Objective: To study the therapeutic effect of Arthroscopic treatment with frozen shoulder release on the rotator cuff injury. Methods: 70 patients with rotator cuff injury diagnosed and treated in our hospital from March 2015 to March 2018 were selected and divided into the observation group (n=36) and the control group (n=34) according to the random number table method. The control group was treated with traditional small incision rotator cuff repair, and the observation group was treated with arthroscopic frozen shoulder release at the same time. The changes of VAS, ases and contact muley scores before and after treatment were compared between the two groups. Results: After treatment, the total effective rate of observation group was 94.44%, which was significantly higher than that of the control group (73.53%, P<0.05); the operation time, intraoperative blood loss, hospitalization time and pain relief time of the observation group were significantly lower than that of the control group (P<0.05); and the VAS scores of observation group were significantly lower than that of the control group, ases and contact muley scores Significantly higher than the control group (P<0.05). Conclusion: Arthroscopic treatment with frozen shoulder release is significantly better than traditional small incision repair of rotator cuff, which can significantly promote the recovery of joint function and reduce the pain of patients.