CAJ | 학술논문

目的：观察分析肩峰撞击征在关节镜下行肩峰成形术的临床疗效。方法回顾性分析采用关节镜下行肩峰成形术治疗的52例肩峰撞击征患者的临床资料，采用Neer评分法评估，对手术前后的评分结果进行统计学处理。结果52例均获随访，随访时间3~24个月，平均9个月，术前≤70分为差34例，71~79分为中14例，80~89分为良4例；术后随访，71~79分为中23例，80~89分为良24例，>90分为优5例，术前Neer评分（55.25±19.00）分，术后为（81.13±6.28）分，差异有统计学意义（t越-9.33，P<0.05）。所有患者在最后随访的时候都对手术结果表示满意。结论通过关节镜下肩峰成形术.可以有效缓解肩峰撞击征患者疼痛并改善活动度，患者对肩峰下成形术耐受较好，术后康复快，并发症少，风险低。
목적：관찰분석견봉당격정재관절경하행견봉성형술적림상료효。방법회고성분석채용관절경하행견봉성형술치료적52례견봉당격정환자적림상자료，채용Neer평분법평고，대수술전후적평분결과진행통계학처리。결과52례균획수방，수방시간3~24개월，평균9개월，술전≤70분위차34례，71~79분위중14례，80~89분위량4례；술후수방，71~79분위중23례，80~89분위량24례，>90분위우5례，술전Neer평분（55.25±19.00）분，술후위（81.13±6.28）분，차이유통계학의의（t월-9.33，P<0.05）。소유환자재최후수방적시후도대수술결과표시만의。결론통과관절경하견봉성형술.가이유효완해견봉당격정환자동통병개선활동도，환자대견봉하성형술내수교호，술후강복쾌，병발증소，풍험저。
Objective To analyze the clinical curative effect of arthroscopic acromioplasty treatment for subacromial impingement syndrome(SAIS). Methods A total of 52 patients who had SAIS were studied in our hospital by using the Neer score evaluation, the results of the pre-operative and post-operative scores were statistically analyzed. Results All the 52 cases were followed up, the follow-up ranged from 3 to 24 months with an average of 9 months. According to the Neer scoring system, 34 cases less than 70 points in the pre-operation were poor, 14 cases with 71-79 points were fair, 4 cases with 80-89 points were good. And 23 cases with 71-79 points in the post-operation were fair, 24 cases with 80-89 points were good,5 cases with more than 90 points were excellent. The Neer score was(55.25±19.00)before operation, and(81.13±6.28)after operation. There was a significantly statistical difference (t=-9.33, P<0.05). Conclusion The pain and activity of the patients were improved by the arthro scopic acromioplasty. And it has many advantages,such as faster post-operative recovery,low risk of complications and so on.