摘要
目的:探讨肩峰下综合征的诊断与治疗方法及临床疗效。方法:肩峰下撞击综合征患者12例,男8例,女4例,年龄32岁～78岁,平均52岁,Ⅰ度1例,Ⅱ度3例,Ⅲ度8例,所有患者均有外伤史或慢性劳损,均有不同程度的肩周疼痛和夜间痛。疼痛弧试验阳性9例,撞击征阳性10例,术前常规拍摄肩关节正位和冈上肌出口位X线片,平坦肩峰2例,弧形肩峰3例,钩状肩峰7例。9例行MRI检查。2例行肩关节造影。均行肩峰前部切开成形术。术后早期行肩关节功能锻炼。结果:10例患者获得随访,平均9个月。终末随访时的UCLA评分,其中优5例,良3例,可1例,差1例;与术前评分比较,差异有显著性(p<0.05)。结论:肩峰下撞击综合征是肩关节疼痛和功能障碍的常见原因。肩峰前部切开成形术是治疗肩峰下撞击综合征的有效方法,疗效确切,术后恢复快,术后早期可行功能锻炼。
Objective： To evaluate the diagnosis, therapy and clinical results of subacromial impingement syndrome. Methods： In this series, there were 1 shoulder of type Ⅰ acromion; type Ⅱ 3 shoulders; type Ⅲ 8 shoulders. All patients were treated with acromioplasty. Results： 10 of patients were followed up for average 9 months. There were significantly difference between pre- operation and post-operation （p〈0. 05） using UCLA grade. Conclusions： The acromioplasty were effective method of subacro- mial impingement syndrome.
出处
《中国伤残医学》
2008年第4期13-14,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
肩峰撞击综合征
手术方法
Diagnosis
Acromioplasty
Subacromial impingement syndrome
