肩关节镜松解与液压扩张法治疗冻结肩的疗效比较

Efficacy of shoulder arthroscopic release versus hydraulic dilatation in the treatment of frozen shoulder:a comparative study

目的比较肩关节镜松解与液压扩张法治疗冻结肩的临床疗效。方法选择60例冻结肩患者,并按照随机数字表法分为观察组和对照组,各30例。观察组实施肩关节镜下松解术治疗,对照组实施液压扩张法治疗。比较两组患者的临床疗效、肩关节功能评分、肩关节活动度、VAS评分、生活质量评分、术后并发症情况。结果观察组总有效率明显高于对照组(P<0.05)。治疗后,两组肩关节功能评分、肩关节活动度、生活质量评分均高于治疗前,且观察组高于对照组(均P<0.05)。治疗后,两组VAS评分均低于治疗前,且观察组低于对照组(均P<0.05)。结论肩关节镜下松解术治疗冻结肩的临床疗效优于液压扩张法,可更好地改善患者肩关节功能,减轻其肩关节活动受限、疼痛程度,有利于提高生活质量,且术后并发症发生率低,安全性好。

Objective To compare the clinical efficacy of shoulder arthroscopic release and hydraulic dilatation in the treatment of the frozen shoulder.Methods Sixty patients with frozen shoulder were selected and divided into observation group and control group according to the random number table method,with 30 cases in each group.The observation group was treated with shoulder arthroscopic release,while the control group was treated with hydraulic dilatation.The clinical efficacy,shoulder function score,shoulder range of motion,VAS score,quality of life score and postoperative complications were compared between the two groups.Results The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).After treatment,the scores of shoulder joint function,shoulder range of motion and quality of life in the two groups were higher than those before treatment,and the abovementioned scores in the observation group were higher than those in the control group(all P<0.05).After treatment,VAS scores of the two groups were lower than those before treatment,and the score in the observation group was lower than that in the control group(all P<0.05).Conclusion The clinical efficacy of shoulder arthroscopic release is superior to hydraulic dilatation in the treatment of frozen shoulder,which can better improve the function of the shoulder joint,alleviate the limitation of shoulder joint activity and pain,improve the quality of life,following a low incidence of postoperative complications and good safety.