肩关节镜下改良前肩峰成形术治疗Ⅱ型肩峰下撞击综合征的疗效

The effect of arthroscopic modified anterior acromioplasty on type Ⅱ subacromial impingement syndrome

目的探讨肩关节镜下改良前肩峰成形术治疗Ⅱ型肩峰下撞击综合征(SAIS)的疗效。方法将60例Ⅱ型SAIS患者按照随机数字表法分为改良组(肩关节镜下采用改良前肩峰成形术治疗,30例)和常规组(肩关节镜下采用常规前肩峰成形术治疗,30例)。记录两组肩关节活动度及术后并发症发生情况;采用UCLA评分评价肩关节功能情况;采用疼痛VAS评分评价肩关节疼痛缓解情况。结果患者均获得3个月随访。术后3个月两组UCLA评分、VAS评分、肩关节活动度均明显优于术前(P <0.01),且改良组明显优于常规组(P <0.01);术后并发症发生率两组比较差异无统计学意义(P> 0.05)。结论肩关节镜下改良前肩峰成形术可有效改善Ⅱ型SAIS患者肩关节功能及缓解疼痛,有利于提高患者肩关节活动度,且安全性较好。

Objective To investigate the effect of arthroscopic modified anterior acromioplasty on type Ⅱ subacromial impingement syndrome( SAIS). Methods The 60 patients with type Ⅱ SAIS were randomly divided into the modified group( 30 cases were received arthroscopic modified anterior acromioplasty) and the conventional group( 30 cases were received conventional shoulder arthroscopic anterior acromioplasty). The shoulder joint mobility and the postoperative complications were recorded,and UCLA score was used to evaluate the shoulder joint function,and pain VAS was used to assess the relief situation of the shoulder joint. Results All patients were followed up for 3 months. At 3 months postoperaiton,the UCLA scores,VAS,and shoulder mobility of the two groups were significantly better than those before operation( P < 0. 01),and the modified group was significantly better than the conventional group( P <0. 01);there was no significant difference in the incidence rate of complications between the two groups( P > 0. 05).Conclusions The arthroscopic modified anterior acromioplasty can effectively improve the shoulder function and relieve pain of patients with type Ⅱ SAIS,it is helpful to improve the shoulder mobility,and has better safety.