数字医学技术辅助关节镜治疗冻结肩临床分析

Clinical analysis of arthroscopy assisted by digital medical technology in the treatment of frozen shoulder

目的探讨数字医学技术辅助关节镜治疗冻结肩的临床疗效。方法回顾性分析2015年6月-2018年1月于我院的住院冻结肩患者15例,应用数字医学技术辅助关节镜关节囊松解术治疗,比较患者手术前后肩关节活动度和关节功能评分。结果所有病例手术及住院期间无死亡;15例患者均获得6~18个月术后随访,平均11.6个月。手术后肩关节活动度比手术前明显改善,差异有统计学意义(P <0.001);术后6个月肩关节VAS评分、Constant-Murley评分与UCLA评分均高于手术前,差异有统计学意义(P <0.001)。结论采用数字医学辅助关节镜关节囊松解术治疗冻结肩具有创伤小、疼痛轻、恢复快、疗效显著的特点,是治疗冻结肩的理想方式。

Objective To explore the clinical effect of arthroscopy assisted by digital medical technology on patients with frozen shoulder. Methods Fifteen patients with frozen shoulder hospitalized in our hospital from June 2015 to January 2018 were analyzed retrospectively.All patients received arthroscopic joint capsule release assisted by digital medical technology,and the shoulder joint mobility and joint function scores before and after operation were compared. Results All patients were alive during operation and hospitalization and15 cases were all followed up for 6 to 18 months,with an average of 11.6 months.The activity of shoulder joint after operation was significantly improved by comparison with that before operation,the difference was statistically significant(P <0.001).The VAS score,Constant-Murley score and UCLA score of shoulder joint 6 months after operation were higher than those before operation,the difference was statistically significant(P<0.001). Conclusion The treatment of frozen shoulder with arthroscopic joint capsule release assisted by digital medical technology has the characteristics of small trauma,light pain,fast recovery and significant effect,which is an ideal method for treatment of frozen shoulder.