[1]姚绍华.肩关节镜下盂肱关节前方松解术与保守疗法治疗冻结肩的疗效与安全性[J].医学信息,2024,37(24):20-23.[doi:10.3969/j.issn.1006-1959.2024.24.006]
　YAO Shaohua.Efficacy and Safety of Arthroscopic Release of Anterior Glenohumeral Joint and Conservative Therapy in the Treatment of Frozen Shoulder[J].Journal of Medical Information,2024,37(24):20-23.[doi:10.3969/j.issn.1006-1959.2024.24.006]
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肩关节镜下盂肱关节前方松解术与保守疗法治疗冻结肩的疗效与安全性()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年24期
页码:
20-23
栏目:
论著
出版日期:
2024-12-15

文章信息/Info

Title:
Efficacy and Safety of Arthroscopic Release of Anterior Glenohumeral Joint and Conservative Therapy in the Treatment of Frozen Shoulder
文章编号:
1006-1959（2024）24-0020-04
作者:
姚绍华
萍乡市第二人民医院骨二科，江西 萍乡 337000
Author(s):
YAO Shaohua
The Second Department of Orthopedics,Pingxiang No.2 People’s Hospital,Pingxiang 337000,Jiangxi,China
关键词:
肩关节镜下盂肱关节前方松解术; 保守疗法; 冻结肩; 肩关节功能
Keywords:
Arthroscopic release of anterior glenohumeral joint; Conservative therapy; Frozen shoulder; Shoulder joint function
分类号:
R684
DOI:
10.3969/j.issn.1006-1959.2024.24.006
摘要:
目的 探索肩关节镜下盂肱关节前方松解术与保守疗法治疗冻结肩的疗效与安全性。方法 选取2020年3月-2024年2月萍乡市第二人民医院收治的50例冻结肩患者作为研究对象，按照随机数字表法将其分为对照组和研究组，每组25例。对照组实施保守疗法治疗，研究组实施肩关节镜下盂肱关节前方松解术治疗。比较两组治疗效果、肩关节功能（日常生活活动、疼痛、肌力、主动活动范围）、肩关节活动度（前屈、后伸、外展、内旋、外旋）、不良反应发生率（骨折、神经血管损伤、关节感染、肩关节不稳）。结果 研究组治疗总有效率为96.00%，高于对照组的72.00%（P＜0.05）；研究组治疗后日常生活活动、疼痛、肌力、主动活动范围评分均高于对照组（P＜0.05）；研究组治疗后前屈、后伸、外展、内旋、外旋活动度均高于对照组（P＜0.05）；研究组不良反应发生率低于对照组（P＜0.05）。结论 与保守疗法治疗比较，肩关节镜下盂肱关节前方松解术在冻结肩患者中的治疗效果更为确切，能够改善患者肩关节功能，提高患者肩关节活动度，且安全性较高。
Abstract:
Objective To explore the efficacy and safety of arthroscopic release of anterior glenohumeral joint and conservative therapy in the treatment of frozen shoulder.Methods A total of 50 patients with frozen shoulder admitted to the Pingxiang No.2 People’s Hospital from March 2020 to February 2024 were selected as the research objects. According to the random number table method, they were divided into control group and study group, with 25 patients in each group. The control group was treated with conservative therapy, and the study group was treated with arthroscopic release of anterior glenohumeral joint. The therapeutic effect, shoulder joint function (activities of daily living, pain, muscle strength, active range of motion), shoulder joint activity (flexion, extension, abduction, internal rotation, external rotation), and incidence of adverse reactions (fracture, neurovascular injury, joint infection, shoulder joint instability) were compared between the two groups.Results The total effective rate of treatment in the study group was 96.00%, which was higher than 72.00% in the control group (P<0.05). After treatment, the scores of activities of daily living, pain, muscle strength and active range of motion in the study group were higher than those in the control group (P<0.05). After treatment, the flexion, extension, abduction, internal rotation and external rotation of the study group were higher than those of the control group (P<0.05). The incidence of adverse reactions in the study group was lower than that in the control group (P<0.05).Conclusion Compared with conservative therapy, arthroscopic release of anterior glenohumeral joint is more effective in patients with frozen shoulder, which can improve the function of shoulder joint and improve the range of motion of shoulder joint with high safety.

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更新日期/Last Update: 1900-01-01