关节镜治疗创伤性肩关节痛合并Bankart损伤的临床观察

Clinical observation of arthroscope treating traumatic omarthralgia with Bankart injury

目的:探讨关节镜治疗创伤性肩关节痛合并Bankart损伤的临床效果。方法:选取住院治疗的69例创伤性肩关节痛合并Bankart损伤患者,按照数表法随机将其分为观察组(38例)和对照组(31例),观察组采用关节镜治疗,对照组采用常规手术治疗,比较两组治疗1周后和1个月后的肩关节评分和视觉模拟量表(VAS)评分。结果:观察组治疗1周后肩关节评分中疼痛、功能活动、肩关节活动度、肌力及总分均高于对照组,其差异有统计学意义(t=5.27,t=6.02,t=6.81,t=3.37,t=8.22;P<0.05);而治疗1个月后两组各项肩关节评分差异无统计学意义(t=1.02,t=1.73,t=2.85,t=2.46,t=4.01;P>0.05);两组组内比较,治疗1个月后的各项评分均高于治疗1周后。治疗后两组的VAS评分比治疗前均有所下降,但观察组低于对照组,两组比较差异具有统计学意义(t=6.88,P<0.05)。结论:关节镜治疗创伤性肩关节痛合并Bankart损伤,对肩关节功能的恢复以及患者疼痛的减轻具有更好的效果,且患者术后的恢复较快,该治疗方法值得临床推广应用。

Objective To investigate the clinical effect of arthroscope treating traumatic omarthralgia with Bankart injury. Methods： 69 patients with traumatic omarthralgia with Bankart injury were divided into observation group （38 cases） and control group （31 cases）. And patients of observation group received the treatment of arthroscopic while those of control group received routine treatment. And then the shoulder joint score and visual analogue scale （VAS） of the two groups at post-treatment 1 week and post-treatment 1 month were compared, respectively. Results： At post-treatment 1 week, series of shoulder joint scores, included of pain, functional activity, activity degree of shoulder joint, muscle force and total score, of observation group were significantly higher than those of control group, respectively （t=5.27, t=6.02, t=6.81, t=3.37, t=8.22, P〈0.05）. While at post-treatment 1 month, all of above shoulder joint scores between the two groups were no significantly （t=1.02, t=1.73, t=2.85, t=2.46, t=4.01, P〉0.05）, respectively. And for all of these scores, post-treatment 1 month were higher than that of post-treatment 1 week. Besides, for both of the two groups, the VASs of post-treatment were lower than that of pre-treatment, and the VAS of observation group was significantly lower than that of control group（t=6.88, P〈0.05）. Conclusions： In the process of arthroscopic treating traumatic omarthralgia with Bankart injury, the recovery of shoulder joint function and the alleviating of painful of patients achieve better effect, and post-operative recovery is faster. Therefore, the therapy method is worthy in the popularization and application of clinical practice.