超声可视化精准微创诊疗粘连性肩关节囊炎的临床疗效观察

Clinical effect observation of ultrasound visualization precision minimally invasive diagnosis and treatment of adhesive shoulder capsulitis

目的分析超声可视化精准微创诊疗粘连性肩关节囊炎的临床疗效。方法按随机数字表法将2021年2月~2023年2月我院收治的156例粘连性肩关节囊炎患者分为研究组和对照组,各78例。对照组实施超声诊断及健康教育,研究组在超声诊断基础上实施超声引导药液注射治疗。观察记录两组患者临床疗效以及治疗前后疼痛、肩关节功能、肩关节活动度变化情况。结果研究组临床治疗总有效率为96.15%,明显高于对照组临床治疗总有效率(85.90%)(P<0.05)。治疗后1个月、3个月,两组数字评定量表(numerical rating scale,NRS)评分与治疗前比较均降低,且研究组NRS评分低于对照组(P<0.05);治疗后3个月,两组NRS评分与治疗1个月比较明显降低,且研究组NRS评分低于对照组(P<0.05)。治疗后1个月、3个月,两组尼尔评分(Neer score)与治疗前比较均升高,且研究组Neer评分高于对照组(P<0.05);治疗后3个月,两组Neer评分与治疗后1个月比较明显升高,且研究组Neer评分高于对照组(P<0.05)。治疗后1个月、3个月,两组前屈、外展、后伸与治疗前比较均明显增加,且研究组前屈、外展、后伸均高于对照组(P<0.05);治疗后3个月,两组前屈、外展、后伸与治疗后1个月比较均明显增加,且研究组前屈、外展、后伸高于对照组(P<0.05)。结论粘连性肩关节囊炎应用超声可视化精准微创诊疗的效果显著,有效提高患者的临床疗效,不仅能够减轻患者疼痛,改善肩关节功能及肩关节活动度,同时能有效缩短病程。

Objective To explore the clinical effect of ultrasound visualization precision minimally invasive diagnosis and treatment of adhesive shoulder capsulitis.Methods A total of 156 patients with adhesive shoulder capsulitis in our hospital were selected as the subjects,and were divided into study group(78 cases)and control group(78 cases)by random table.The control group received ultrasound diagnosis and health education,and the study group received ultrasound guided infusion therapy based on ultrasound diagnosis.The clinical efficacy,the changes in pain,shoulder joint function,and shoulder range of motion(ROM)before and after treatment of the two groups were observed and recorded.Results The clinical effective rate of the study group(96.15%)was higher compared with control group(85.90%)(P<0.05).Compared with before treatment,the numerical rating score(NRS)score of 1 month,3 month in study group and control group was lower,and the NRS score was lower in study group(P<0.05).Compared with 1 month of treatment,the NRS scores of the study group and the control group were lower after 3 months of treatment,and the NRS score in study group was lower(P<0.05).Compared with before treatment,Neer score of study group and control group was higher after 1 month and 3 months of treatment,and the Neer score in study group was higher(P<0.05).Compared with 1 month of treatment,Neer score of the study group and the control group was increased after 3 months of treatment,and the Neer score in study group was higher(P<0.05).Compared with before treatment,the joint degree of motion(flexion,abduction and extension)of the study group and control group were increased after 1 month and 3 months of treatment,and the joint degree of motion in study group was higher(P<0.05).Compared with 1 month of treatment,the joint degree motion(flexion,abduction and extension)of the study group and the control group increased significantly after 3 months of treatment,and the joint degree motion in study group was higher(P<0.05).Conclusion The application of ultrasound-guided precise minmally invasive treatment for adhesive shoulder capsulitis effectively improve the clinical efficacy,which can not only reduce the pain of patients,but also improve the function and motion of shoulder joints,and shorten the duration of the illness.