[1]曾学珠,范 程,汤 波.关节镜下有限松解结合麻醉下推拿治疗顽固性冻结肩的疗效观察[J].医学信息,2021,34(22):4-7.[doi:10.3969/j.issn.1006-1959.2021.22.002]
　ZENG Xue-zhu,FAN Cheng,TANG Bo.Clinical Efficacy of Arthroscopic Limited Release and Manipulation Under Anesthesia on Refractory Frozen Shoulder[J].Medical Information,2021,34(22):4-7.[doi:10.3969/j.issn.1006-1959.2021.22.002]
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关节镜下有限松解结合麻醉下推拿治疗顽固性冻结肩的疗效观察()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年22期
页码:
4-7
栏目:
出版日期:
2021-11-15

文章信息/Info

Title:
Clinical Efficacy of Arthroscopic Limited Release and Manipulation Under Anesthesia on Refractory Frozen Shoulder
文章编号:
1006-1959（2021）22-0004-04
作者:
曾学珠; 范 程; 汤 波
（西宁市第一人民医院运动医学科，青海 西宁 810000）
Author(s):
ZENG Xue-zhu; FAN Cheng; TANG Bo
(Sports Medicine Department,Xining First People’s Hospital,Xining 810000,Qinghai,China)
关键词:
顽固性冻结肩; 关节镜; 手法推拿
Keywords:
Obstinate frozen shoulder; Arthroscopy; Manipulation and massage
分类号:
R687.4
DOI:
10.3969/j.issn.1006-1959.2021.22.002
文献标志码:
A
摘要:
目的 探讨关节镜下有限松解结合麻醉下推拿治疗顽固性冻结肩的疗效。方法 选择我院2018年10月-2020年2月收治的27例原发性冻结肩患者，均行关节镜下有限松解+麻醉下推拿术治疗，术后随访10~24个月，观察患者术前及术后1、4、12周、6个月时肩关节疼痛（VAS）评分、Constant评分及被动关节活动范围（前屈、外展、外旋）。结果 所有患者伤口均一期愈合，无感染、血管神经损伤、深静脉血栓等并发症发生；术后6个月，患者VAS评分较术前降低，Constant评分较术升高，差异有统计学意义（P＜0.05）；被动关节活动范围中前屈[（173.52±7.31）°vs（63.89±11.21）°]、外展[（163.70±7.79）°vs（47.22±8.80）°]、外旋[（73.89±4.00）° vs （11.48±6.91）°]均较术前改善，差异有统计学意义（P＜0.05）。结论 关节镜下有限松解结合麻醉下推拿治疗顽固性冻结肩效果可靠，手术创伤小，疼痛改善效果好，患者恢复快，是治疗顽固性冻结肩的有效方法。
Abstract:
Objective To investigate the effect of arthroscopic limited release and manipulation under anesthesia on refractory frozen shoulder.Methods A total of 27 patients with primary frozen shoulder admitted to our hospital from October 2018 to February 2020 were selected and treated with limited release under arthroscopy and massage under anesthesia. The patients were followed up for 10 to 24 months, the shoulder pain (VAS) score, Constant score and passive joint range of motion (flexion, abduction and rotation) were observed before operation and at 1,4,12 and 6 months after operation.Results All patients had primary wound healing without infection, vascular and nerve injury, deep vein thrombosis and other complications. Six months after operation, the VAS score of the patients was lower than that before operation, and the Constant score was higher than that before operation, and the difference was statistically significant (P<0.05). The passive range of motion in flexion [(173.52±7.31)° vs (63.89±11.21)°], abduction [(163.70±7.79)° vs (47.22±8.80)°], external rotation [(73.89±4.00)° vs (11.48±6.91)°] were improved compared with those before operation, and the difference was statistically significant (P<0.05).Conclusion The effect of limited release under arthroscopy combined with massage under anesthesia in the treatment of intractable frozen shoulder is reliable, with small surgical trauma, good pain improvement effect and rapid recovery of patients. It is an effective method for the treatment of intractable frozen shoulder.

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更新日期/Last Update: 1900-01-01