摘要
目的探讨关节镜下部分清理钙化灶术治疗肩袖钙化性肌腱炎的近期效果。方法100例肩袖钙化性肌腱炎患者随机分为完全清理组(关节镜下完全清理钙化术)和部分清理组(关节镜下部分清理钙化术),比较两组的近期疗效。结果部分清理组的术中失血量、手术用时、住院时间均低于完全清理组,术后1 d的血清TNF-α、IL-6水平以及术后6个月的VAS评分均低于完全清理组,术后6个月的ASES评分高于完全清理组(P<0.05)。结论关节镜下部分清理钙化灶术治疗肩袖钙化性肌腱炎的近期效果显著,可减轻手术创伤及术后炎性反应,促进患者疼痛缓解及肩功能恢复。
Objective To explore the short-term efect of arthroscopic partial cleaning of caleifications in the treatment of rotator cuff calcific tendinitis.Methods 100 patients with rotator cuff calcific tendinitis were randomly divided into the complete cleaning group(arthroscopic complete cleaning of calcifications)and the partial cleaning group(arthroscopic partial cleaning of calcifications).The short-term efficacy was compared between the two groups.Resuls The intraoperative blood loss amount,operation time and hospitalization time of the partial cleaning group were lower than those of the complete cleaning group,the serum TNF-α and IL-6 levels at 1 day after surgery and the VAS score at 6 months after surgery were lower than those of the complete cleaning group,and the ASES score at 6 months after surgery was higher than that of the complete cleaning group(P<0.05).Conclusions Arthroscopic partial cleaning of calcifications in the treatment of rotator cuff calcific tendinitis has significant short-term effect,which can reduce surgical trauma and postoperative inflammatory response,and promote pain relief and shoulder function recovery of patients.
作者
宋志勇
蒋捷
SONG Zhiyong;JIANG Jie(1^(st)Ward of Orhopaedics Department,Pingdingshan First People's Hospital,Pingdingshan 467000,China;Color UIltrasound Room,Pingmei Shenma Group Occupational Disease Prevention and Control Instiute,Pingdingshan 467000,China)
出处
《临床医学工程》
2024年第6期651-652,共2页
Clinical Medicine & Engineering
关键词
关节镜
清理钙化灶术
肩袖钙化性肌腱炎
近期效果
Arthroscopy
Cleaning of calcification
Rotator cuff calcific tendinitis
Short-term effect
