关节镜下关节囊松解治疗原发性冻结肩的临床研究

发布时间：2019-03-12 12:11

【摘要】：研究目的：探讨关节镜技术治疗原发性冻结肩的临床疗效,为患者寻找经济有效的治疗方法,为我院开展新技术提供科学的理论依据。方法：通过研究2013年3月至2014年1月期间诊断为原发性冻结肩并采用肩关节镜手术治疗的患者18例,观察和对比治疗前后临床症状体征的变化,以及对比Constant肩关节功能评分来评价疗效。结果：18例患者均获得6个月以上随访。治疗前Constant肩关节功能评分：25.3±4.7,术后3个月随访时Constant肩关节功能评分：81.1±7.8,与治疗前比较显著性差异有统计学意义(P0.005),疼痛及活动度等各单项治疗前后相比显著性差异有统计学意义。结论：研究证明,关节镜下关节囊松解治疗原发性冻结肩临床疗效显著,术后3月肩关节功能即可恢复,具有疗效确切、微创、恢复快等特点。关节镜下关节囊松解是一种治疗原发性冻结肩的较为理想的方法,值得临床推广
[Abstract]:Objective: to explore the clinical efficacy of arthroscopic technique in the treatment of primary frozen shoulder, to find an economical and effective treatment method for patients, and to provide a scientific theoretical basis for the development of new techniques in our hospital. Methods: from March 2013 to January 2014, 18 patients diagnosed as primary frozen shoulder and underwent arthroscopic surgery were studied. The clinical symptoms and signs were observed and compared before and after treatment. Constant shoulder function score was compared to evaluate the efficacy. Results: all 18 patients were followed up for more than 6 months. The Constant shoulder function score before treatment was 25.3 卤4.7, and the Constant shoulder function score was 81.1 卤7.8 at follow-up 3 months after operation, which was significantly different from that before treatment (P0.005). There were significant differences in pain and mobility before and after treatment. Conclusion: the clinical efficacy of arthroscopic capsular lysis in the treatment of primary frozen shoulder is remarkable, and the shoulder function can be recovered 3 months after operation. It has the characteristics of definite curative effect, minimally invasive and quick recovery. Arthroscopic release of capsular joint is an ideal method for the treatment of primary frozen shoulder, which is worthy of clinical popularization.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.4

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