关节镜下肩峰成形术治疗肩峰撞击征的临床效果观察

Observation on the Clinical Effect of Arthroscopic Acromioplasty in the Treatment of Subacromial Impingement Syndrome

目的：探讨通过关节镜下肩峰成形术治疗肩峰撞击症的临床效果。方法：选择36例肩峰撞击症患者为研究对象,给予关节镜下肩峰成形术治疗,比较治疗前后患者的Constant-Murley肩关节功能评分。结果：36例患者均术后随访15-24个月,平均18个月。术前Constant-Murley肩关节功能评分平均38.2分,术后末次随访平均评分为88.1分,较术前显著升高,差异有统计学意义（P〈0.05）,且患者术后末次随访时疼痛、日常生活活动、主动活动范围及肌力评分均显著高于术前,差异均有统计学意义（P〈0.05）。结论：关节镜下肩峰成形术能有效治疗肩峰撞击症,明显减轻患者的痛苦,改善患者的生活质量,值得临床推广。

Objective： To explore the clinical effect of arthroscopic acromioplasty on subacromial impingement syndrome. Methods：36 patients with subacromial impingement syndrome were selected for the study and were all treated with arthroscopic acromioplasty, the Constant-Murley shoulder function scores of the patients were comprared between preoperation and postoperation. Results： 36 patients were followed-up for 15 to 24 months, the average time was 18 months. The Constant-Murley shoulder function scores averaged 38.2points preoperation and 88.1 points on the late follow-up day postoperation, the postoperative score improved significantly than the preoperative score, and the difference was statistically significant（P〈0.05）. The postoperative scores of joint pain, muscle strength, bend elbow, rang of activities and functional recovery were significantly higher than those preoperation, and the differences were statistically significant（P〈0.05）. Conclusions： Arthroscopic acromioplasty could effectively treat subacromial impingement syndrome and relieve the pain, improve the quality of life, it was worthy of clinical promotion.