CAJ | 학술논문

目的：探讨肩关节镜下治疗冈上肌钙化性肌腱炎的临床疗效。方法2011年12月-2014年9月，对19例冈上肌钙化性肌腱炎患者行肩关节镜治疗，术后配合中药外用熏洗的康复治疗。结果均获随访，随访时间3-36个月。19例患者中，17例肩关节疼痛及功能障碍消失或明显改善，2例仍感轻度疼痛。按照VAS疼痛评分术前（6.10±1.52）分，术后（1.15±0.95）分，两者比较具有统计学意义（t=30.58，P<0.05）及Constant-Murley评分术前（51.68±9.52）分，术后（91.36±3.75）分比较差异具有统计学意义（t=-28.10，P<0.05）。结论肩关节镜治疗冈上肌钙化性肌腱炎临床疗效显著，创伤小，安全有效，术后功能康复快。
목적：탐토견관절경하치료강상기개화성기건염적림상료효。방법2011년12월-2014년9월，대19례강상기개화성기건염환자행견관절경치료，술후배합중약외용훈세적강복치료。결과균획수방，수방시간3-36개월。19례환자중，17례견관절동통급공능장애소실혹명현개선，2례잉감경도동통。안조VAS동통평분술전（6.10±1.52）분，술후（1.15±0.95）분，량자비교구유통계학의의（t=30.58，P<0.05）급Constant-Murley평분술전（51.68±9.52）분，술후（91.36±3.75）분비교차이구유통계학의의（t=-28.10，P<0.05）。결론견관절경치료강상기개화성기건염림상료효현저，창상소，안전유효，술후공능강복쾌。
Objective To study the clinical effect of arthroscopic treatment of calcific tendinitis of the supraspinatus. Methods From December 2011 to September 2014,19 cases of calcific tendinitis of the supraspinatus were treated with shoulder arthroscopy,postoperative rehabilitation treatment with traditional Chinese medicine fumigation. Results All the cases were fol-lowed. The follow-up was 3 to 36 months. Among the 19 cases,17 patients reported that Shoulder joint pain and dysfunction dis-appeared or improved. 2 patients presented with still feel shoulder joint mild pain. According to VAS pain scoring system ,the postoperative condition(1.15±0.95)points,compared with the pre-oparative condition(6.10±1.52)points,was significantly increased, which had statistical significance (t=30.58,P<0.05). According to Constant-Murley scoring system,the postoperative condition(91. 36±3.75)points,compared with the preoparative condition (51.68±9.52)points,was significantly increased,which had statistical sig-nificance (t=-28.10,P<0.05). Conclusion Arthroscopic treatment of calcific tendinitis of the supraspinatus is safe,effective and less invasive with a quick recovery.