实用医学杂志 ›› 2020, Vol. 36 ›› Issue (24): 3358-3362.doi: 10.3969/j.issn.1006⁃5725.2020.24.011

• 临床研究 • 上一篇    下一篇

肩袖撕裂合并冻结肩症状持续时间对手法松解下行肩袖修补术疗效的影响

何承炊,郑鹏,刘丹平
  

  1. 1 锦州医科大学抚顺中心医院研究生培养基地骨关节与运动医疗病区(辽宁抚顺113006);2 锦州医科大学附属第一医院骨关节与运动医疗病区(辽宁锦州121000)
  • 出版日期:2020-12-25 发布日期:2021-01-19
  • 通讯作者: 刘丹平 E⁃mail:liudanping2009@sohu.com
  • 基金资助:
    国家自然科学基金资助项目(编号:81572140)

Effect of symptom duration of rotator cuff tear with frozen shoulder onclinical efficacy of rotator cuff    repair with manipulation release

HE Chengchui,ZHENG Peng,LIU Danping.   

  1. Department of Orthopedic Surgery and Sports Medicine,the Graduate Training Base of Fushun Central Hospital of Jinzhou Medical University,Fushun 113006,China
  • Online:2020-12-25 Published:2021-01-19
  • Contact: LIU Danping E⁃mail:liudanping2009@sohu.com

摘要:

目的 本研究旨在探讨术前肩袖撕裂合并冻结肩症状持续时间对手法松解下行肩袖修补 术预后的影响,为临床手术时机提供参考。

方法 通过回顾性分析我院行手法松解下肩袖修补术患者共 80 例,分为 A 40 例:肩袖撕裂合并冻结肩症状持续时间≤ 3 个月,B 40 例:肩袖撕裂合并冻结肩症 状持续时间> 3 个月并且< 6 个月。通过对比术前和术后疼痛视觉模拟评分(visual analogue scale,VAS), 美国肩肘协会评分系统(ASES)和 Constant⁃Murley 评分以评估疗效。结果 两组患者均顺利完成手法松 解下肩袖修补术,两组患者术后 6 周、3 个月、6 个月 VAS 评分较术前均逐渐显著降低(P<0.05)、ASES 分及Constant⁃Murley 评分较术前均逐渐显著升高(P<0.05),而术后6个月与术后 12 个月各项评分比较差 异无统计学意义(P>0.05),两组患者组间 VAS 评分及 ASES 评分比较差异无统计学意义(P>0.05), Constant⁃Murley 评分比较只有在术后 6 周时的差异有统计学意义(P<0.05)。结论 肩袖撕裂合并冻结肩 症状持续时间≤ 3 个月的患者手法松解下行肩袖修补术比症状持续时间> 3 个月并< 6 个月的患者能较早 获得肩关节活动的改善,但远期疗效差异无统计学意义。

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Abstract:

Objective To investigate the effect of symptom duration of rotator cuff tear with frozen shoulder on clinical efficacy of rotator cuff repair with manipulation release and to provide reference for operation timing. Methods eighty patients which rotator cuff repair under manual release were retrospectively analyzed. They were divided into A group(n = 40)the duration was less than or equal to 3 months)and B group(n = 40:the duration was more than 3 months and less than 6 months). VAS,ASES and Constant⁃Murley scores were compared before operation and post operation to evaluate the efficacy. Results The two groups of patients successfully went through the operation. The VAS scores of patients in both groups at 6 weeks,3 months and 6 months after operation grew gradually lower than those before operation(P < 0.05),and ASES and Constant⁃Murley score increased gradually higher than those before operation(P < 0.05). There was no statistical difference in VAS and ASES score between the two groups(P > 0.05). The statistical difference of constant⁃Murley score was significant only at 6 weeks after operation(P < 0.05). Conclusion The patients with the duration is less than or equal to 3 months can get the improvement of shoulder join activity earlier than the patients with the duration of more than 3 months and less than 6 months,but there is no significant difference concerning the long term curative effect.

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