CAJ | 학술논문

目的观察原发性冻结肩的患者行关节镜下肩关节囊松解手术的疗效.方法自2010年10月~2011年12月选择经保守治疗3个月以上无效的原发性冻结肩患者13例,行肩关节镜下关节囊松解治疗,术后随访8~18个月.评价指标采用美国肩肘外科-标准肩关节评分(ASES)、肩关节主动/被动活动范围(ROM)、视觉疼痛评分(VAS)等.所有患者在年龄、性别、病程及分期等基线资料差异无统计学意义.结果患者肩关节疼痛明显缓解或消失,VAS疼痛评分由术前的(5.5±4.8)分降低到(1.6±2.0)分,肩关节活动功能较术前明显改善,肩关节ASES评分由术前的(45.0±18.0)分提高到(94.0±21.0)分,且无并发症出现.结论肩关节镜下关节囊松解是治疗原发性冻结肩的理想方法,具有创伤小、恢复快、安全可靠、并发症少等优点.
목적관찰원발성동결견적환자행관절경하견관절낭송해수술적료효.방법자2010년10월~2011년12월선택경보수치료3개월이상무효적원발성동결견환자13례,행견관절경하관절낭송해치료,술후수방8~18개월.평개지표채용미국견주외과-표준견관절평분(ASES)、견관절주동/피동활동범위(ROM)、시각동통평분(VAS)등.소유환자재년령、성별、병정급분기등기선자료차이무통계학의의.결과환자견관절동통명현완해혹소실,VAS동통평분유술전적(5.5±4.8)분강저도(1.6±2.0)분,견관절활동공능교술전명현개선,견관절ASES평분유술전적(45.0±18.0)분제고도(94.0±21.0)분,차무병발증출현.결론견관절경하관절낭송해시치료원발성동결견적이상방법,구유창상소、회복쾌、안전가고、병발증소등우점.
Objective To evaluate the results of arthroscopic capsular release for the treatment of idiopathic frozen shoulder . Methods From October 2010 to December 2011,13 cases of patients with primary frozen shoulder after conservative treatment for 3 months or more invalid line of shoulder were taken endoscopic joint capsular release treatment and followed up for 8 to 12 months.The American Shoulder and Elbow Surgeons the-standard shoulder score(ASES),the shoulder joint active/passive activities range(ROM),visual analogue scale(VAS) were chosen to be the evaluation index .All patients had no statistically significant differences in age ,gender,disease duration and stage baseline data.Results Patients with shoulder pain eased significantly or disappeared ,VAS pain score decreased from 5.5 ±4.8 points preoperatively to 1.6 ±2.0,shoulder mobility function significantly improved compared with preoperative ,the shoulder joint ASES score improved from 45.0 ±18.0 points preoperatively to 94.0 ±21.0 minutes,and no patients had complications.Conclusion Arthroscopic capsular release is a safe and effective surgical procedure in the management of idiopathic frozen shoulder unresponsive to conservative treat -ment.It has advantages of little invasive ,better recovery,less operation time and less complications .