CAJ | 학술논문

背景：对于经保守治疗无效的钙化性冈上肌腱炎，可以考虑关节镜手术，但手术细节和疗效尚需讨论。 　　目的：探讨关节镜下手术治疗钙化性冈上肌腱炎的方法与效果。 　　方法：2008年1月至2012年7月，30例钙化性冈上肌腱炎患者行关节镜下手术。男7例，女23例；年龄42~73岁，平均52.3岁；右侧13例，左侧17例。采用VAS疼痛评分、Constant-Murley评分、UCLA评分及X线检查对患者进行手术前后的评估。 　　结果：经过平均28.7个月（21~42个月）的随访，所有患者症状均得到明显改善。患者术前平均VAS评分为（7.7±1.3）分、Constant-Murley评分为（46.5±8.2）分、UCLA评分为（13.5±3.4）分，某次随访时分别为（1.9±1.2）分、（94.4±3.8）分、（33.2±1.7）分，术前和末次随访时比较差异均有统计学意义（P＜0.05）。6例患者术后X线片仍残留部分钙化灶，但症状消失、功能良好。 　　结论：对于保守治疗无效的钙化性冈上肌腱炎，行关节镜下钙化病灶清理具有良好的治疗效果，是一种创伤小且安全有效的治疗途径。
배경：대우경보수치료무효적개화성강상기건염，가이고필관절경수술，단수술세절화료효상수토론。 　　목적：탐토관절경하수술치료개화성강상기건염적방법여효과。 　　방법：2008년1월지2012년7월，30례개화성강상기건염환자행관절경하수술。남7례，녀23례；년령42~73세，평균52.3세；우측13례，좌측17례。채용VAS동통평분、Constant-Murley평분、UCLA평분급X선검사대환자진행수술전후적평고。 　　결과：경과평균28.7개월（21~42개월）적수방，소유환자증상균득도명현개선。환자술전평균VAS평분위（7.7±1.3）분、Constant-Murley평분위（46.5±8.2）분、UCLA평분위（13.5±3.4）분，모차수방시분별위（1.9±1.2）분、（94.4±3.8）분、（33.2±1.7）분，술전화말차수방시비교차이균유통계학의의（P＜0.05）。6례환자술후X선편잉잔류부분개화조，단증상소실、공능량호。 　　결론：대우보수치료무효적개화성강상기건염，행관절경하개화병조청리구유량호적치료효과，시일충창상소차안전유효적치료도경。
Background:Arthroscopic surgical procedure is a considerable method for patients who suffered from calcific supraspinatus tendinitis and failed to conservative treatment. However, the details and effectiveness of the procedure need to be discussed. Objective:To investigate the surgical techniques and results of arthroscopic treatment for calcifying supraspinatus tendinitis. Methods:From January 2008 to July 2012, arthroscopic operation was performed in 30 patients with calcifying supraspina-tus tendinitis. There were 7 males and 23 females with a mean age of 52.3 years old (range, 42-73 years). 17 left and 13 right shoulders were involved. X-Ray examination on the AP was obtained before and after surgery. The shoulder function was evaluated by VAS pain score, Constant-Murley score and UCLA scoring system before surgical treatment and at the last follow up. Results:The mean follow-up period was 28.7 months (range, 21 to 42 months). The shoulder function was evidently im-proved in all patients. The average VAS pain score was 7.7±1.3 preoperatively and 1.9±1.2 at the last follow-up. The aver-age Constant-Murley score was 46.5 ± 8.2 preoperatively and 94.4 ± 3.8 at the last follow-up. The average UCLA score was 13.5 ± 3.4 preoperatively and 33.2 ± 1.7 at the last follow-up. Significant difference was found between preoperative scores and the ones at the last follow-up (P<0.05). The radiographs showed reservation of partially calcified deposit in 6 patients, but no preoperative symptoms recurred. Conclusions:Arthroscopic excision is a minimally invasive, safe and effective treatment for patients with calcific supraspi-natus tendinitis who failed to conservative treatment.