开放手术与肩关节镜下手术治疗冈上肌钙化性肌腱炎的疗效比较

目的:对比分析开放手术与肩关节镜下手术治疗冈上肌钙化性肌腱炎的疗效.方法:回顾因冈上肌钙化性肌腱炎接受手术治疗的病人30例,按治疗方式分为开放手术组13例和肩关节镜组17例.采用美国加州大学洛杉矶分校肩关节评分系统(UCLA)评分、Constant-Murley评分、疼痛视觉模拟评分、简明肩关节评分(SST)问卷调查比较2组病人手术前后肩关节功能恢复情况.结果:病人术后获得随访7~27个月.2组病人术后6项指标均较术前明显改善(P<0.01),2组术后UCLA评分、Constant-Murley评分和疼痛视觉模拟评分改善程度差异均无统计学意义(P>0.05),但在前屈、外展功能和SST问卷肯定答案个数方面肩关节镜组均明显优于开放手术组(P<0.01).结论:肩关节镜下治疗冈上肌钙化性肌腱炎可以明显改善肩关节功能,且具有微创、安全、术后功能恢复快等优点.

Curative effect comparison between open surgery and arthroscopy in the treatment of calcific supraspinatus tendinitis

Objective:To compare the clinical effects between open surgery and arthroscopy in the treatment of calcific supraspinatus tendinitis.Methods:Thirty calcific supraspinatus tendinitis patients treated with operation were divided into the open surgery group(13 cases) and shoulder arthroscopy group(17 cases). The shoulder function recovery in two groups were evaluated by UCLA scoring system of the shoulder joint,Constant-Murley score,VAS pain score and simple shoulder test(SST) questionnaire before and after operation.Results:All patients were followed up for 7 to 27 months. The postoperative six indexes in two groups were significantly improved compared with before operation(P<0.01).The differences of the UCLA score,Constant-Murley score and VAS pain score between two groups were not statistically significant after operation(P>0.05).The flexion,abduction and SST questionnaire in shoulder arthroscopy group were better than those in open surgery group(P <0.01). Conclusions:The treatment of calcific supraspinatus tendinitis with shoulder arthroscopy can significantly improve the shoulder function,which has the advantage of minimal invasion,safety and quick recovery.