中国医药导报
中國醫藥導報
중국의약도보
China Medical Herald
2015年
27期
93-97
,共5页
肩峰下撞击综合征%关节镜%肩峰成形术
肩峰下撞擊綜閤徵%關節鏡%肩峰成形術
견봉하당격종합정%관절경%견봉성형술
Under the acromion impingement%Arthroscopy%Acromion plasty
目的：考察关节镜下改良前肩峰成形术治疗肩峰下撞击综合征的临床效果。方法选择徐州市中心医院于2012年1月~2014年12月收治的32例肩峰下撞击综合征患者，按照随机分组系统RandA 1.0分为改良组与对照组，每组各16例。对照组采用常规关节镜下前肩峰成形术治疗，改良组在对照组基础上增加关节镜下改良前肩峰成形术治疗。观察并比较两组的治疗效果。结果改良组术后X线片显示肩峰成形充分，且其局部骨质经术中打磨后显示为暗区；术后随访平均(9.64±3.92)个月，两组患者的术后美国肩肘外科学会肩关节评分标准(ASES)评分及加利福尼亚大学洛杉矶评分标准(UCLA)评分均较术前获得显著提升，差异均有统计学意义(P<0.05或P<0.01)，且改良组的评分改善效果更为明显，与对照组比较差异有统计学意义(P<0.05)；改良组优良率为93.75%，对照组优良率为87.50%，两组比较差异有统计学意义(P<0.05)。结论肩关节镜下改良前肩峰成形术对肩峰下撞击综合征的临床治疗效果是值得肯定的，在满足手术适应证的情况下建议将该术式作为临床治疗肩峰下撞击综合征的首选术式。
目的：攷察關節鏡下改良前肩峰成形術治療肩峰下撞擊綜閤徵的臨床效果。方法選擇徐州市中心醫院于2012年1月~2014年12月收治的32例肩峰下撞擊綜閤徵患者，按照隨機分組繫統RandA 1.0分為改良組與對照組，每組各16例。對照組採用常規關節鏡下前肩峰成形術治療，改良組在對照組基礎上增加關節鏡下改良前肩峰成形術治療。觀察併比較兩組的治療效果。結果改良組術後X線片顯示肩峰成形充分，且其跼部骨質經術中打磨後顯示為暗區；術後隨訪平均(9.64±3.92)箇月，兩組患者的術後美國肩肘外科學會肩關節評分標準(ASES)評分及加利福尼亞大學洛杉磯評分標準(UCLA)評分均較術前穫得顯著提升，差異均有統計學意義(P<0.05或P<0.01)，且改良組的評分改善效果更為明顯，與對照組比較差異有統計學意義(P<0.05)；改良組優良率為93.75%，對照組優良率為87.50%，兩組比較差異有統計學意義(P<0.05)。結論肩關節鏡下改良前肩峰成形術對肩峰下撞擊綜閤徵的臨床治療效果是值得肯定的，在滿足手術適應證的情況下建議將該術式作為臨床治療肩峰下撞擊綜閤徵的首選術式。
목적：고찰관절경하개량전견봉성형술치료견봉하당격종합정적림상효과。방법선택서주시중심의원우2012년1월~2014년12월수치적32례견봉하당격종합정환자，안조수궤분조계통RandA 1.0분위개량조여대조조，매조각16례。대조조채용상규관절경하전견봉성형술치료，개량조재대조조기출상증가관절경하개량전견봉성형술치료。관찰병비교량조적치료효과。결과개량조술후X선편현시견봉성형충분，차기국부골질경술중타마후현시위암구；술후수방평균(9.64±3.92)개월，량조환자적술후미국견주외과학회견관절평분표준(ASES)평분급가리복니아대학락삼기평분표준(UCLA)평분균교술전획득현저제승，차이균유통계학의의(P<0.05혹P<0.01)，차개량조적평분개선효과경위명현，여대조조비교차이유통계학의의(P<0.05)；개량조우량솔위93.75%，대조조우량솔위87.50%，량조비교차이유통계학의의(P<0.05)。결론견관절경하개량전견봉성형술대견봉하당격종합정적림상치료효과시치득긍정적，재만족수술괄응증적정황하건의장해술식작위림상치료견봉하당격종합정적수선술식。
Objective To investigate the clinical effect of arthroscopic improved foreacromioplasty for the treatment of subacromial impingement syndrome. Methods From January 2012 to December 2014, in the Central Hospital of Xuzhou City, 32 cases patients with subacromial impingement syndrome were selected, according to random system RandA 1.0, all the patients were divided into control group and improvement group, with 16 cases in each group. The control group was treated with routine arthroscopic anterior acromioplasty, the improvement group was treated by arthro-scopic improved foreacromioplasty. The clinical effect of two groups were observed and compared. Results The X-ray film of improvement group showed acromioplasty full, and the local bone was displayed as the dark area after the oper-ation. Followed up for average (9.64±3.92) months postoperatively, the postoperative ASES score and UCLA score of the two groups were improved and the differences were statistically significant (P<0.05 or P< 0.01), and the improvement effect of improvement group was more notable, compared with the control group, the differences were statistically signif-icant (P<0.05). The good rate of control group and improvement group were 87.50%, 93.75%, the difference was sta-tistically significant (P<0.05). Conclusion The clinical effect of arthroscopic improved foreacromioplasty for subacro-mial impingement syndrome is positive, the arthroscopic improved foreacromioplasty should as the first choice for the treatment of subacromial impingement syndrome when meet the surgical indications suggest.
