肩峰撞击征关节镜下治疗疗效分析.docVIP

肩峰撞击征关节镜下治疗疗效分析 　　[摘要] 目的 观察分析肩峰撞击征在关节镜下行肩峰成形术的临床疗效。 方法 回顾性分析采用关节镜下行肩峰成形术治疗的52例肩峰撞击征患者的临床资料，采用Neer评分法评估，对手术前后的评分结果进行统计学处理。 结果 52例均获随访，随访时间3～24个月，平均9个月，术前 ≤70分为差34例，71～79分为中14例，80～89分为良4例；术后随访，71～79分为中23例，80～89分为良 24例，90分为优 5例，术前Neer评分（55.25±19.00）分，术后为（81.13±6.28）分，差异有统计学意义（t=-9.33，P0.05）。所有患者在最后随访的时候都对手术结果表示满意。 结论 通过关节镜下肩峰成形术.可以有效缓解肩峰撞击征患者疼痛并改善活动度，患者对肩峰下成形术耐受较好，术后康复快，并发症少，风险低。 　　[关键词] 肩峰下撞击；微创；关节镜 　　[中图分类号] R687 [文献标识码] B [文章编号] 1673-9701（2015）14-0093-03 　　[Abstract] Objective To analyze the clinical curative effect of arthroscopic acromioplasty treatment for subacromial impingement syndrome（SAIS）. Methods A total of 52 patients who had SAIS were studied in our hospital by using the Neer score evaluation， the results of the pre-operative and post-operative scores were statistically analyzed. Results All the 52 cases were followed up， the follow-up ranged from 3 to 24 months with an average of 9 months. According to the Neer scoring system， 34 cases less than 70 points in the pre-operation were poor， 14 cases with 71-79 points were fair， 4 cases with 80-89 points were good. And 23 cases with 71-79 points in the post-operation were fair， 24 cases with 80-89 points were good， 5 cases with more than 90 points were excellent. The Neer score was （55.25±19.00） before operation， and （81.13±6.28） after operation. There was a significantly statistical difference （t=-9.33， P0.05）. Conclusion The pain and activity of the patients were improved by the arthroscopic acromioplasty. And it has many advantages， such as faster post-operative recovery， low risk of complications and so on. 　　[Key words] Subacromial impingement syndrome； Minimally invasive； Arthroscopy 　　肩峰撞击征是肩关节常见的运动损伤以及退行性损伤疾病之一，对于肩峰撞击征，肩峰减压术即肩峰成形术已被证明是有效的治疗手段，关节镜下进行肩峰成形，具有创伤小、恢复快的优点。随着肩关节技术的不断成熟和进步，2009年4月～2014年7月在我院关节外科肩关节镜下行肩峰成形术治疗肩峰撞击征的患者，临床结果满意。现报道如下。 　　1 资料与方法 　　1.1临床资料 　　本组52例，男34例，女18例，年龄26～79岁，平均56岁。左肩30例，右肩21例，双肩患者1例，一期手术治疗。患者均肩关节周围疼痛，上举困难伴疼痛，肩关节前屈活动60°～90° 25例，90°～110° 25例，110°～140° 2例。疼痛弧试验阳性41例