关节镜下改良前肩峰成形术治疗老年肩峰撞击综合征的临床疗效

发布时间：2019-05-10 12:46

【摘要】：目的研究关节镜下改良前肩峰成形术在老年肩峰撞击综合征患者中的应用效果。方法行关节镜下改良前肩峰成形术的28例老年患者术前利用加州大学洛杉矶分校(UCLA)的评分标准评分,并对其进行冈上肌出口位X线与磁共振成像(MRI)检查;术中,在关节镜下切除肩峰前下外侧部分、滑囊及喙肩韧带和增生骨赘等,扩大肩峰下间隙;根据术后评分结果分为优、良、可、差四个等级,定期随访6~24个月。结果术后UCLA评分,优17例(60.72%),良8例(28.57%),可2例(7.14%),差1例(3.57%),术后优良率达89.28%。术后随访平均得分〔(33.42±5.54)分〕显著高于术前〔(14.32±4.98)分,P0.05〕。结论关节镜对明确诊断病情有重要作用,关节镜下肩峰成形术在老年肩峰撞击综合征的治疗中效果显著。
[Abstract]:Objective to study the effect of arthroscopic modified anterior acromioplasty in elderly patients with acromion impingement syndrome. Methods 28 elderly patients undergoing arthroscopic modified anterior acromioplasty were evaluated by (UCLA) score of the University of California, Los Angeles, and were examined by X-ray and magnetic resonance imaging (MRI) at the exit position of the superior ganglia muscle. During the operation, the anterior and inferior part of the shoulder peak, synovial capsule, coracoshoulder ligament and hyperplastic osteophyte were resected under arthroscopy to expand the subacromial space, and the subacromial space was divided into four grades according to the postoperative score: excellent, good, fair and poor, and followed up regularly for 6 to 24 months. Results the postoperative UCLA score was excellent in 17 cases (60.72%), good in 8 cases (28.57%), fair in 2 cases (7.14%) and poor in 1 case (3.57%). The excellent and good rate was 89.28%. The average score of postoperative follow-up (33.42 卤5.54) was significantly higher than that before operation (14.32 卤4.98, P 0.05). Conclusion Arthroscopy plays an important role in the diagnosis of shoulder impingement syndrome. Arthroscopic acromioplasty is effective in the treatment of shoulder impingement syndrome in the elderly.
【作者单位】：徐州市中心医院骨科;
【分类号】：R687.4

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