关节镜与保守疗法治疗冻结肩的效果观察

Comparison of clinical effects of arthroscopic and conservative treatment for frozen shoulder

目的对比关节镜和保守疗法治疗冻结肩的临床效果。方法选取我院骨科收治的80例冻结肩患者为研究对象,以随机数表抽取法分为保守组和治疗组,各40例。给予保守组患者保守疗法,给予治疗组关节镜结合手法松解治疗,对两组患者肩关节功能、疼痛指数进行观察对比。结果治疗组肩关节功能评分明显高于保守组,疼痛指数明显低于保守组,差异均有统计学意义(P<0.05)。结论给予冻结肩患者关节镜结合松解术治疗,可改善患者肩关节功能,减少疼痛,临床意义显著。

Objective To compare the clinical efficacy of arthroscopy and conservative treatment for frozen shoulder. Methods Eighty cases treated with frozen shoulder in our hospital were selected in this study, and the patients were devided into treatment group and conservative treatment group, 40 cases in each group. The conservative group was given conservative treatment, and the treatment group was given underwent arthroscopic lysis treatment. Shoulder function and pain index were compared between the two groups. Results The shoulder functi on score in the treatment group was significantly higher than that in the conservative group, and the pain index was significantly lower than that in the conservative group （P〈0.05）. Conclusion Arthroscopic lysis treatment for the patients with frozen shoulder can improve joint function and reduce pain of the patients, and it is worth of the clinical application.