体外冲击波联合关节镜下微创手术治疗运动性肩袖损伤患者的效果及对肩关节功能的影响

Effect of extracorporeal shock wave and arthroscopic minimally invasive surgery on patients with sports rotator cuff injury and its impact on shoulder joint function

目的探讨体外冲击波联合关节镜下微创手术治疗运动性肩袖损伤患者的效果及对肩关节功能的影响。方法选取2020年10月至2021年9月厦门市第五医院收治的82例运动性肩袖损伤患者作为研究对象,以随机数字表法将其分为研究组(41例)与对照组(41例)。对照组给予关节镜下微创手术治疗,研究组给予体外冲击波联合关节镜下微创手术治疗,比较两组患者的临床疗效、肩关节功能。结果研究组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。两组患者的Constant-Murley肩关节评分系统(CMS)、美国加州肩关节功能评分量表(UCLA)组间、时点及交互作用差异均有统计学意义(P<0.05);进一步两两比较,组内比较:两组患者术后1、2个月的CMS、UCLA评分均高于本组术前,术后2个月的CMS、UCLA评分均高于术后1个月,差异有统计学意义(P<0.05);组间比较:研究组患者术后1、2个月的CMS、UCLA评分均高于对照组,差异有统计学意义(P<0.05)。结论运动性肩袖损伤患者给予体外冲击波联合关节镜下微创手术治疗,能够提升临床疗效,改善患者肩关节功能。

Objective To explore the effect of extracorporeal shock wave and arthroscopic minimally invasive surgery on patients with sports rotator cuff injury and its impact on shoulder joint function.Methods A total of 82 patients with exercise-induced rotator cuff injury admitted to Xiamen Fifth Hospital from October 2020 to September 2021 were selected as the study objects and they were divided into study group(41 cases)and control group(41 cases)by random number table method.The control group received arthroscopic minimally invasive surgery,and the study group received extracorporeal shock wave combined with arthroscopic minimally invasive surgery.The clinical efficacy and shoulder joint function of the two groups were compared.Results The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).There were statistically significant differences among groups,time and interactions in Constant-Murley shoulder joint scoring system(CMS)and the University of California at Los Angeles(UCLA)between the two groups(P<0.05).Further pound-wise comparison,intra-group comparison:CMS and UCLA scores in the two groups 1 and 2 months after surgery were higher than those before surgery,CMS and UCLA scores 2 months after surgery were higher than those 1 month after surgery,the differences were statistically significant(P<0.05).Comparison between groups:the CMS and UCLA scores of the study group 1 and 2 months after operation were higher than those of the control group,with statistical significances(P<0.05).Conclusion The treatment of extracorporeal shock wave and minimally invasive procedure under arthroscopy for patients with sports rotator cuff injury can improve the clinical efficacy,improve the shoulder joint function of patients.