河北医科大学学报

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关节镜技术在CT三维重建下对治疗肩峰撞击综合征的临床研究

  

  1. 广州中医药大学第四临床医学院,深圳市中医院骨二科,广东 深圳 518030
  • 出版日期:2018-08-25 发布日期:2018-07-25
  • 作者简介:蒋顺琬(1964-),男,四川宜宾人,广州中医药大学第四临床医学院,深圳市中医院主任中医师,医学硕士,从事骨科疾病诊治研究。
  • 基金资助:
    广东省中医药局科研项目(20181228)

Clinical efficacy of combined digital technology and arthroscopy  in the treatment of acromion syndrome

  1. The Second Department of Orthopaedics, the Fourth  Clinical Medicial College, Guangzhou University of
    Chinese Medicine, Traditional Chinese Medicine  Hospital of Shenzhen City,
    Guangdong Province, Shenzhen 518030, China
  • Online:2018-08-25 Published:2018-07-25

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗观察联合应用数字化技术与关节镜治疗肩峰撞击综合征的临床效果。
〖HTH〗方法〖HTSS〗〖KG*2〗选择诊断为肩峰撞击综合征的住院患者为研究对象,术前利用CT检查的DICOM文件,在数字软件MIMICS 14.0中制作三维形态,并模拟关节镜磨除增生骨赘,指导手术。术前及术后随访采用视觉模拟评分法(Visual Analogue Scale,VAS)评分、美国加州大学(University of California at Los Angeles,UCLA)肩袖评分、ConstantMurley肩关节(CMS)评分进行疼痛和功能评估。
〖HTH〗结果〖HTSS〗〖KG*2〗术后3个月、术后6个月及术后1年的VAS评分均低于术前及术后1周,术后6个月及术后1年的VAS评分均低于术后3个月,差异有统计学意义(P<005)。术后总UCLA评分、疼痛评分、功能评分、前屈角度评分、后屈角度评分均高于术前,差异有统计学意义(P<005)。术后疼痛、日常生活活动、主动活动范围、肌力评分均高于术前,差异有统计学意义(P<005)。
〖HTH〗结论〖HTSS〗〖KG*2〗肩峰撞击综合征是肩关节疼痛和功能障碍的常见原因,关节镜骨赘磨除术及肩峰成形术是有效的治疗方法,疗效确切。

关键词: 肩峰撞击综合征;关节镜;成像, 三维

Abstract: [Abstract] Objective〖HTSS〗〓To investigate the effect of combined application of digital technology and arthroscopy in the treatment of acromion syndrome.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓The hospitalized patients diagnosed as shoulderimpact syndrome were selected as the study subjects. The DICOM file of CT examination was used before operation to make threedimensional shape in digital software MIMICS 14.0, and it was necessary to simulate the arthroscopy operation for osteophytes. In addition to surgery, guiding surgery, preoperative and postoperative followup were performed using Visual Analogue Scale(VAS) score, University of California at Los Angeles(UCLA) rotator cuff score, and ConstantMurley Shoulder Joint(CMS) score for pain and functional assessment.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The VAS scores of 3 months after operation, 6 months after operation and 1 year after operation were lower than those before and 1 week after operation. The VAS scores of 6 months after operation and 1 year after operation were lower than 3 cases after operation. The differences were statistically significant(P<005). The total UCLA score, pain score, functional score, flexion angle score and posterior flexion angle score were higher than those before surgery, and the difference was statistically significant(P<005). Postoperative pain, daily living activities, active range of activity, and muscle strength were all higher than before surgery, and the difference was statistically significant(P<005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Acromion impingement syndrome is a common cause of shoulder pain and dysfunction. Arthroscopic osteophyte removal and acromioplasty are effective methods.

Key words: shoulder impingement syndrome, arthroscopy, imaging,threedimensional