[1]刘冰山,武豪杰,阮坤鹏.关节镜下肩袖修补术联合肩松解术治疗肩袖损伤合并冻结肩疗效观察[J].新乡医学院学报,2021,38(2):152-155.[doi:10.7683/xxyxyxb.2021.02.011]
　LIU Bingshan,WU Haojie,RUAN Kunpeng.Effect of arthroscopic rotator cuff repair with shoulder release in the treatment of rotator cuff injury combined with frozen shoulder[J].Journal of Xinxiang Medical University,2021,38(2):152-155.[doi:10.7683/xxyxyxb.2021.02.011]
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关节镜下肩袖修补术联合肩松解术治疗肩袖损伤合并冻结肩疗效观察
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
38
期数:
2021年2
页码:
152-155
栏目:
临床研究
出版日期:
2021-02-05

文章信息/Info

Title:
Effect of arthroscopic rotator cuff repair with shoulder release in the treatment of rotator cuff injury combined with frozen shoulder
作者:
刘冰山; 武豪杰; 阮坤鹏
（河南大学淮河医院骨科，河南　开封　475000）
Author(s):
LIU Bingshan; WU Haojie; RUAN Kunpeng
(Department of Orthopedies,Huaihe Hospital of Henan University,Kaifeng 475000,Henan Province,China）
关键词:
肩袖损伤; 冻结肩; 关节镜; 肩袖修补术; 肩松解术
Keywords:
rotator cuff injuryfrozen shoulderarthroscopyrotator cuff repairshoulder release
分类号:
R687.2
DOI:
10.7683/xxyxyxb.2021.02.011
文献标志码:
A
摘要:
目的　观察关节镜下肩袖修补术联合肩松解术治疗肩袖损伤合并冻结肩的临床效果。方法　选择2016年6月至2018年12月河南大学淮河医院收治的100例肩袖损伤合并冻结肩患者为研究对象，根据手术方式将患者分为对照组和观察组，每组50例。对照组患者行关节镜下单纯肩袖修补术，观察组患者行关节镜下肩袖修补术联合肩松解术，手术均由同一组医生完成。比较2组患者手术前后视觉模拟评分法（VAS）评分、美国肩肘外科协会（ASES）评分及患肢前屈、外展、侧旋的角度。结果　2组患者术前患侧肩关节前屈、外展、侧旋角度及VAS评分、ASES评分比较差异无统计学意义（P＞0.05）。2组患者术后3个月患侧肩关节前屈、外展、侧旋角度均显著大于术前（P<0.05）；观察组患者术后3个月患侧肩关节前屈、外展、侧旋角度均显著大于对照组（>P<0.05）。与术前比较，2组患者术后3、12个月患侧肩关节vas评分显著降低（>P<0.05）；术后3个月，观察组患者的vas评分显著低于对照组（>P<0.05）；术后12个月，2组患者的vas评分比较差异无统计学意义（>P＞0.05）。与术前比较，2组患者术后3、12个月患侧肩关节ASES评分均显著增高（P<0.05）；观察组患者术后3、12个月患侧肩关节ases评分均显著高于对照组（>P<0.05）。>结论　关节镜下肩袖修补术联合肩松解术治疗可更好地改善肩袖损伤合并冻结肩术患者的肩关节疼痛、活动度和功能，更有利于患者肩关节的恢复。undefinedundefinedundefinedundefinedundefinedundefined
Abstract:
Objective　To observe the clinical effect of arthroscopic rotator cuff repair with shoulder release in the treatment of rotator cuff injury combined with frozen shoulder.Methods　　A total of 100 patients with rotator cuff injury combined with frozen shoulder admitted to Huaihe Hospital of Henan University from June 2016 to December 2018 were selected as the research objects.According to the mode of operation,the patients were divided into control group and observation group,with 50 cases in each group.The patients in the control group were treated with simple arthroscopic rotator cuff repair,and the patients in the observation group were treated with arthroscopic rotator cuff repair and shoulder release.The operations were performed by the same group of doctors.The visual analogue scale (VAS) score,the American Shoulder and Elbow Surgeons (ASES) score and the angles of flexion,abduction and lateral rotation of the affected limb of patients were compared between the two groups before and after operation.Results　There was no significant difference in the angles of flexion,abduction,lateral rotation of the patient′s affected shoulder joint and the VAS score,ASES score of patients between the two groups before operation（P＞0.05）.The angles of flexion,abduction and lateral rotation of the patient′s affected shoulder joint at three months after operation in the two groups were significantly larger than those before operation (P<0.05);three months after operation,the angles of flexion,abduction and lateral rotation of the affected shoulder of patients in the observation group were significantly larger than those in the control group (P<0.05).The VAS score of patients at 3 and 12 months after operation in the two groups was significantly lower than that before operation;three months after operation,the VAS score of patients in the observation group was significantly lower than that in the control group (P<0.05).Twelve months after operation,there was no significant difference in the VAS score of patients between the two groups (P>0.05).The ASES score of the patient′s affected shoulder joint at 3 and 12 months after operation in the two groups was significantly higher than that before operation (P<0.05);three and twelve months after operation,the ASES score of the patient′s affected shoulder joint in the observation group was significantly higher than that in the control group(P<0.05).Conclusion　Arthroscopic rotator cuff repair with shoulder release can better improve the pain,range of motion and function of the shoulder joint of the patients with rotator cuff injury and frozen shoulder,and it is more beneficial to the recovery of the shoulder joint of the patients.

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更新日期/Last Update: 2021-02-05