摘要
目的探讨采用关节镜结合小针刀治疗冈上肌钙化性肌腱炎的临床效果.方法31例(31肩)肩关节剧烈疼痛、夜间痛明显、全方位活动受限,X线及MRI提示为冈上肌钙化性肌腱炎的患者,行关节镜下肩关节探查、清理加小针刀松解冈上肌钙化性肌腱.采用美国加州大学肩关节评分(UCLA评分)判断手术效果.结果31例患者术后均获得随访,随访时间为2~13个月,平均6个月.根据UCLA肩关节评分标准,末次随访与术前相比较,结果显示:术前患者肩关节UCLA评分为(5.18±1.84)分,末次随访肩关节UCLA评分为(32.63±1.96)分,肩关节评分显著高于术前(P<0.05);性别差异无统计学意义(P<0.05).结论关节镜结合小针刀治疗冈上肌钙化性肌腱炎能够有效缓解疼痛,改善肩关节微环境,提高肩关节UCLA肩关节评分,促进患者肩关节功能的恢复,具有临床推广价值.
Objective To explore the clinical effect of arthroscopy combined with small needle knife in the treatment of calcified tendinitis of supraspinatus muscle.Methods 31 patients(31 shoulders)with calcified tendonitis of supraspinatiis muscle were selected as the patients according to X-ray and MRI.Arthroscopic shoulder joint exploration,cleaning and needle knife release calcified tendons of supraspinatus muscle were performed.The University of California at Los Angeles shoulder rating scale(UCLA)was used to evaluate the surgical effect.Results 31 patients were followed up for 2 to 13 months,with an average of 6 months.According to the UCLA shoulder joint scoring standard,the results showed th«it the UCLA score of shoulder joint in the last follow-up was(5.18±1.84)and that of shoulder joint in the last follow-up was(32.63±1.96).The UCLA score of shoulder joint in the last follow-up was significantly higher than that before the operation(P<0.05).There was no significant difference between the sexes(P<0.05).Conclusion Arthroscopy combined with small needle scalpel in the treatment of calcified tendonitis of supraspinatus muscle can eiicctively relieve pain,improve the microenvironment of shoulder joint,improve the UCLA shoulder joint store of shoulder joint,and promote the recovery of shoulder joint function of patients,which has clinical value.
出处
《浙江临床医学》
2021年第4期497-499,共3页
Zhejiang Clinical Medical Journal
关键词
关节镜
小针刀
冈上肌钙化性肌腱炎
Arthroscopy
Small needle sc alpel
Calcified tendinitis of supraspinatus muscle
