数字技术辅助关节镜治疗肩峰撞击综合征

发布时间：2018-08-14 19:31

【摘要】：目的评价数字技术辅助关节镜治疗肩峰撞击综合征的疗效。方法回顾性分析自2011-01—2013-12采用数字技术辅助关节镜下肩峰成形术治疗的60例肩峰撞击综合征。术前在肩关节三维影像上模拟肩关节镜手术中需要磨除的引起撞击的肩峰骨质部分,术中依据术前模拟的情况磨除相应骨质进行肩峰成形术。结果手术均顺利完成,切口一期愈合。术后无感染、血管神经损伤等并发症发生。60例均获得24~48(36.2±7.4)个月随访。术后12个月按Constant肩关节功能评分为(92.0±3.8)分,较术前明显增高,差异有统计学意义(t=-43.570,P0.001)。术后12个月肩关节疼痛VAS评分为(1.2±0.9)分,较术前明显降低,差异有统计学意义(t=40.943,P0.001)。结论数字技术辅助关节镜手术治疗肩峰撞击综合征可以真正做到肩峰成形的个性化操作,具有创伤小、恢复快、精确度高、疗效确切的优点。
[Abstract]:Objective to evaluate the effect of digital technique assisted arthroscopy on acromion impingement syndrome. Methods 60 cases of acromion impingement syndrome treated by digital technique assisted arthroscopic acromioplasty since 2011-01 to 2013-12 were retrospectively analyzed. Three dimensional images of the shoulder joint were used to simulate the impingement of acromial bone which needed to be removed in the shoulder arthroscopic operation. According to the simulated condition before the operation, the corresponding bone was removed to perform acromioplasty. Results the operation was completed successfully and the incision healed in one stage. No infection, vascular and nerve injury were found in 60 cases. All the 60 cases were followed up for 24 ~ 48 (36.2 卤7.4) months. 12 months after operation, the score of shoulder function according to Constant was (92.0 卤3.8), which was significantly higher than that before operation (t = 43.570, P 0.001). At 12 months after operation, the VAS score of shoulder joint pain was (1.2 卤0.9), which was significantly lower than that before operation (t = 40.943, P 0.001). Conclusion Digital assisted arthroscopic treatment of acromion impingement syndrome can truly achieve individualized operation of acromioplasty, which has the advantages of less trauma, quick recovery, high accuracy and accurate curative effect.
【作者单位】：同济大学附属东方医院关节与骨病专科;
【基金】：上海市科委课题资助项目(15411968700) 上海市卫生和计划生育委员会科研课题(20134404) 上海市浦东新区卫生系统优秀青年医学人才培养计划(PWRq2014-35)
【分类号】：R687.4

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