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田振兴 蒋 涛 朱英箭.关节镜下关节囊松解术与保守疗法治疗冻结肩45例临床疗效比较[J].中国现代医生,2021,59(27):114-117
关节镜下关节囊松解术与保守疗法治疗冻结肩45例临床疗效比较
Comparison of clinical effects of arthroscopic joint capsule release and conservative therapy on 45 cases of frozen shoulder
  
DOI:
中文关键词:  关节镜  关节囊松解术  保守疗法  冻结肩
英文关键词:Anthroscope  Joint capsule release  Conservative therapy  Frozen shoulder
基金项目:
作者单位
田振兴 蒋 涛 朱英箭 枣庄矿业集团中心医院关节外科山东枣庄 277000 
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中文摘要:
      目的 分析关节镜下关节囊松解术和保守疗法治疗于冻结肩的疗效差异。方法 患者诊治时间介于2018 年8 月至2020 年3 月间,共计冻结肩患者45例。以随机法分组,A 组23例,在关节镜引导下进行关节囊松解术;B 组22例,予以保守治疗,即口服药物+功能训练。对比两组的治疗效果。结果 治疗前,对比于两组的肩关节功能各项评分差异无统计学意义(P>0.05)。治疗半年后,A 组的肩关节功能评分为(7.96±1.51)分,B 组为(6.12±1.42)分;A 组的患者满意度评分为(4.01±0.69)分,B 组为(3.64±0.65)分;A 组的疼痛评分为(6.77±1.15)分,B 组为(6.01±1.21)分;A 组的肌力评分为(3.75±0.93)分,B 组为(3.12±0.91)分;A 组的主动前屈活动度评分为(3.89±0.77)分,B 组为(3.14±0.75)分;A 组的肩关节功能总分为(26.38±1.22)分,B 组为(22.03±1.16)分,差异有统计学意义(P<0.05)。治疗前,A 组的肩关节活动度水平对比差异无统计学意义(P>0.05)。治疗半年后,A 组的肩关节活动度均大于B 组,差异显著(P<0.05)。A 组的并发症率(8.70%)略低于B 组(13.64%)(P>0.05)。治疗前,两组的生活质量评分对比差异无统计学意义(P>0.05)。治疗半年后,A 组的生活质量评分高于B 组,差异有统计学意义(P<0.05)。结论 为冻结肩患者行关节镜引导关节囊松解术可改善肩关节功能与活动度,且安全效益较佳。
英文摘要:
      Objective To analyze the differences between the clinical effects of arthroscopic joint capsule release and conservative therapy on frozen shoulder.Methods A total of 45 patients with frozen shoulder were diagnosed and treated between August 2018 and March 2020.According to the random method,23 patients in group A were treated with joint capsule release under the guidance of arthroscope;22 patients in group B were treated with conservative therapy,that is,oral medication+functional training.The therapeutic effects of the two groups were compared.Results Before treatment,no significant differences were observed in the scores of shoulder joint function between the two groups (P<0.05).After 6 months of treatment,the scores of shoulder joint function in group A and group B were (7.96±1.51) points and (6.12±1.42) points;patient satisfaction scores were (4.01±0.69) points in group A and (3.64±0.65) points in group B;pain scores were (6.77±1.15) points in group A and (6.01±1.21) points in group B;muscle strength scores were (3.75±0.93) points in group A and (3.12±0.91) points in group B;active flexion activity scores were (3.89±0.77) points in group A and (3.14±0.75) points in group B;total scores of shoulder joint function were (26.38±1.22) points in group A and(22.03±1.16)points in group B;the differences were statistically significant(P<0.05).Before treatment,no significant difference was observed in the level of motion of shoulder joint between group A and group B (P>0.05).After half a year of treatment,the range of motion of shoulder joint in group A was higher than that in group B,and the difference was significant (P<0.05).The complication rate in group A (8.70%) was slightly lower than that in group B (13.64%) (P>0.05).Before treatment,no significant difference was observed in quality of life scores between the two groups (P>0.05).After 6 months of treatment,the quality of life score of group A was higher than that of group B,and the difference was significant (P<0.05).Conclusion Arthroscopically guided joint capsule release for frozen shoulder patients can improve shoulder function and range of motion with good safety benefits.
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