CAJ | 학술논문

目的观察关节镜下切除肩峰下滑囊(SAB)治疗单纯肩峰下滑囊炎的疗效.方法我院自2006年1月~2012年1月收治40例单纯肩峰下滑囊炎的患者,其中男28例,女12例,年龄20~65岁,平均43岁.所有患者均无明显外伤史.所有患者诊断单纯肩峰下滑囊炎,确切排除其他疾病引起的肩峰下滑囊炎.患肩上举、外展困难并疼痛或不适,疼痛反应弧症阳性,Neer症弱阳性. MRI示肩峰下滑囊T1高信号,X线示患肩无异常或轻度退变.患者随机分为A,B两组,A观察组行关节镜下SAB切除,B对照组行患肩封闭、EMS、常规肩关节功能锻炼等保守处理.对所有患者进行长期随访,分别观察记录两组治疗前及治疗后1个月、3个月、1年、2年视觉模拟评分(VAS)并进行统计学分析.结果 A,B两组治疗后1个月、2个月两组VAS评分无显著差异(P>0.05),A,B两组治疗后VAS评分1年、2年有显著差异(P<0.01),且A组评分小于B组VAS评分.结论关节镜下切除SAB是治疗单纯肩峰下滑囊炎有效的方法,并远期疗效优于保守治疗方法.
목적 관찰관절경하절제견봉하활낭(SAB)치료단순견봉하활낭염적료효.방법 아원자2006년1월~2012년1월수치40례단순견봉하활낭염적환자,기중남28례,녀12례,년령20~65세,평균43세.소유환자균무명현외상사.소유환자진단단순견봉하활낭염,학절배제기타질병인기적견봉하활낭염.환견상거、외전곤난병동통혹불괄,동통반응호증양성,Neer증약양성. MRI시견봉하활낭T1고신호,X선시환견무이상혹경도퇴변.환자수궤분위A,B량조,A관찰조행관절경하SAB절제,B대조조행환견봉폐、EMS、상규견관절공능단련등보수처리.대소유환자진행장기수방,분별관찰기록량조치료전급치료후1개월、3개월、1년、2년시각모의평분(VAS)병진행통계학분석.결과 A,B량조치료후1개월、2개월량조VAS평분무현저차이(P>0.05),A,B량조치료후VAS평분1년、2년유현저차이(P<0.01),차A조평분소우B조VAS평분.결론 관절경하절제SAB시치료단순견봉하활낭염유효적방법,병원기료효우우보수치료방법.
@@@@ Objective To evaluate the efficacy of arthroscopic resection of the subacromial bursa in treat-ment of simple subacromial bursitis.Methods From January 2006 to January 2012,40 cases of recurrent subacromial bursitis were treated in our department including 28 men and 10 women,aged 20~65 years old,an average of 43.All pa-tients had no history of trauma,diagnosed with simplex subacromial bursitis exact ,had the symptoms of shoulder pain or discomfort,muscle restricted activities,pain arc positive,Neer sign weakly positive.MRI scans showed high signal in the SAB in T1,X-ray showed shoulder was normal or mild degeneration .All the patients were randomly divided into group A and group B.The treatment of group A(observe group) was arthroscopic SAB resection .The treatment of group B(control group) was injection of hormones and anesthetics ,EMS and conventional shoulder functional exercise .All patients were observed and recorded VAS before and after treatment for 1 month,3months,1 year and 2 years.Results The VAS score of two groups after treatment for 1 month and 3 months was not significantly different (P>0.05).The VAS score of two groups after treatment for 1 year and 2 years had significant difference (P<0.01),and VAS score of group A was less than group B.Conclusion The arthroscopic resection of SAB is an effective treatment for simple subacromial bursitis and long-term efficacy is superior to conservative treatment .