原发性冻结肩两种镜下松解范围比较△

Comparison of two arthroscopic release ranges for primary frozen shoulder

摘要:

［目的］ 比较两种关节镜松解范围治疗原发性冻结肩 （primary frozen shoulder, PFS） 的临床效果。［方法］ 回顾性分析 2018 年 1 月—2020 年 5 月本科收治的 59 例单侧 PFS 患者的临床资料，根据医患沟通结果，37 例行关节镜下前方松解治疗 （前侧松解组），22 例行关节镜下 360°松解治疗（360°松解组）。比较两组围手术期及随访结果。［结果］两组患者均顺利完成手术，术中无严重并发症。前侧松解组手术时间和住院时间均显著优于 360°松解组（P<0.05）。随时间推移，两组患者 VAS 评分显著下降（P<0.05），而 Constant-Murley 评分，以及外展、外旋、前屈和内旋 ROM 均显著增加（P<0.05）。相应时间点，两组间上述指标的差异均无统计学意义（P>0.05）。［结论］关节镜下前侧松解能够取得与 360°松解近似的临床效果，且手术创伤小。

Abstract:

[Objective] To compare the clinical outcomes of two arthroscopic release ranges for primary frozen shoulder (PFS) . [Methods] A retrospective study was done on 59 patients who received surgical treatment for unilateral PFS in our hospital from January 2018 to May 2010. According to doctor-patient communication results, 37 patients had arthroscopic anterior release (AR group) , while the remain- ing 22 patients underwent arthroscopic 360° release (360° group) . The perioperative period and follow-up results of the two groups were compared. [Results] All patients in both groups had operation completed successfully without serious complications. The AR group proved significantly superior to the 360° group in terms of operation time and hospital stay (P＜0.05) . The VAS scores decreased significantly (P＜ 0.05) , whereas the Constant-Murley score, as well as abduction, external rotation, forward extension, and internal rotation ROMs increased significantly over time in both groups (P＜0.05) . At the corresponding time points, there was no significant difference in the above indexes between the two groups (P＞0.05) . [Conclusion] Arthroscopic anterior release does achieve similar clinical results with 360° release for PFS, whereas has a benefit of less surgical trauma.