透明质酸钠与可吸收医用膜结合肩关节镜下松解术治疗冻结肩的疗效研究*

目的比较透明质酸钠(SH)注射与可吸收医用膜植入结合肩关节镜下松解术治疗冻结肩的临床效果。方法选取2015年9月-2016年12月冻结肩患者40例,应用肩关节镜下松解术后SH注射20例(SH组),应用肩关节镜下松解术后可吸收医用膜植入20例(医用膜组),比较两组术后肩关节疼痛视觉模拟评分(VAS)和美国肩肘外科医师协会(ASES)、加州大学洛杉矶分校(UCLA)肩关节功能评分。结果术后6个月随访时,两组术后VAS评分、ASES评分、UCLA评分均较术前明显改善(P0.05),两组间VAS评分、ASES评分及UCLA评分差异无统计学意义。结论 SH与可吸收医用膜结合肩关节镜下松解术治疗冻结肩均可提高术后肩关节功能,两者不存在显著差异。

Comparative analysis of the effects of sodium hyaluronate and absorbable medical film with arthroscopic release in treatment of frozen shoulder*

Objective To compare the clinical effects between sodium hyaluronate injection and absorbable medical film implantation with arthroscopic release in treatment of frozen shoulder. Methods 40 cases of frozen shoulder patients from September 2015 to December 2016, 20 cases of sodium hyaluronate injection with arthroscopic release (SH group), 20 cases of absorbable medical film implantation with arthroscopic release (Medical Film group), the visual analogue scale (VAS), the shoulder joint function scores of American Shoulder and Elbow Surgeons (ASES), and University of California at Los Angeles (UCLA) between the two groups were compared. Results After 6 months follow-up, the VAS score, ASES score and UCLA score of the two groups were significantly improved (P < 0.05), the difference of VAS score, ASES score and UCLA score between the two groups were not statistically significant. Conclusion The sodium hyaluronate injection and absorbable medical film implantation with arthroscopic release can improve the shoulder function, and there is no significant difference between them.