肩关节镜下肩峰成形术治疗肩峰下撞击综合征的临床研究

Clinical study of arthroscopic acromioplasty in the treatment of subacromial impingement syndrome

目的探讨肩关节镜下肩峰成形术治疗肩峰下撞击综合征的临床疗效。方法回顾性分析我院21例符合纳入标准的肩峰下撞击综合征病例,均行肩关节镜手术。分别在术前、术后3月、术后6月记录患者的加利福尼亚大学洛杉矶评分(UCLA),以及感染等并发症情况。结果术前UCLA评分总分为(16.00±2.36)分,术后3月UCLA评分总分为(29.04±1.63)分,术后6月UCLA评分总分为(30.95±1.69)分。术后3月UCLA评分总分与术前UCLA评分总分相比较,差异有统计学意义(P<0.05)。术后6月UCLA评分总分与术后3月UCLA评分总分相比较,差异有统计学意义(P<0.05)。结论肩关节镜下肩峰成形术目前已经成为治疗肩峰下撞击综合征的主流方法,短期内可以取得非常确切的疗效。

Objective To explore the clinical effect of subacromial impingement syndrome treated by arthroscopic subacromial decompression. Methods 21 patients who suffered subacromial impingement syndrome were retrospectively analysed.They all accpted arthroscopic shoulder surgery. The assessment was performed with the shoulder-rating scale of the University of California at Los Angeles and the complications were observed befor the operation and 3 or 6 months ofter operation. Results Preoperative UCLA total score was 16.00±2.36,the UCLA score of 3 months after operation was 29.04±1.63,the UCLA score at 6months after operation was 30.95±1.69. There was significant difference in the total score of UCLA between 3 months after operation and peroperation,and the difference was statistically significant(P<0.05). The total UCLA score at 6 months after operation was different from that of UCLA score at 3 months after operation,and the difference was statistically significant(P <0.05).Conclusion Arthroscopic subacromial decompression is currently the mainstream method for the treatment of subacromial impingement syndrome,which has improved the clinical efficacy in the treatment of subacromial impingement syndrome.