首页|关节镜手术治疗创伤性复发性肩关节前脱位的临床效果分析

关节镜手术治疗创伤性复发性肩关节前脱位的临床效果分析

Analysis of Clinical Effect of Arthroscopic Surgery for Traumatic Recur-rent Anterior Shoulder Dislocation

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目的 探析采用关节镜辅助治疗肩关节前脱位的临床治疗效果及对改善肩关节功能,降低手术不良预后的应用价值.方法 随机选取2022年6月—2023年6月于漳州市第二医院接受治疗的40例肩关节前脱位患者为研究对象,采用电脑随机自动编号(1~40)后分为两组,每组20例;单号纳入对照组,行传统手术治疗;双数纳入研究组,于关节镜辅助下行手术治疗.比较两组治疗后的肩关节功能、手术和临床指标、并发症发生率、短期不良预后发生率.结果 治疗前,两组肩关节活动度、稳定性、功能比较,差异无统计学意义(P均>0.05);治疗后,研究组的肩关节活动度、稳定性、功能评分高于对照组,差异有统计学意义(P均<0.05).研究组术后住院时间、术中出血量优于对照组,差异有统计学意义(P均<0.05).研究组术后并发症发生率(5.00%)低于对照组(30.00%),差异有统计学意义(P<0.05);研究组短期不良预后发生率低于对照组,差异有统计学意义(P<0.05).结论 采用基于关节镜指导下的微创手术治疗肩关节前脱位,可明显改善患者肩关节功能,增加关节稳定性,同时手术出血量更少,可缩短术后住院时间,减少并发症,并且可改善患者术后短期预后情况.
Objective To explore the clinical effect of arthroscopic surgery treatment of anterior shoulder dislocation and its application value in improving shoulder joint function and reducing adverse prognosis after surgery.Methods 40 patients with anterior shoulder dislocation who received treatment in Zhangzhou Second Hospital from June 2022 to June 2023 were randomly selected as the study objects.They were randomly numbered by computer(1-40)and di-vided into two groups,with 20 cases in each group.The single number was included in the control group,and tradi-tional surgery was performed.Even numbers of patients were included in the study group for arthroscopic assisted de-scending surgery.The shoulder joint function,surgical and clinical indexes,complication rate and short-term adverse prognosis rate were compared between the two groups after treatment.Results Before treatment,there was no signifi-cant difference in the mobility,stability and function of shoulder joint between the two groups(all P>0.05).After treat-ment,the scores of shoulder motion,stability and function of the study group were higher than those of the control group,and the differences were statistically significant(all P<0.05).Postoperative hospitalization time and intraopera-tive blood loss in the study group were better than those in the control group,and the differences were statistically significant(both P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The short-term adverse prognosis in the study group was 5.00%,which was significantly lower than that in the control group(20.00%),the difference was statisti-cally significant(P<0.05).Conclusion Minimally invasive surgery under the guidance of arthroscope for the treatment of anterior dislocation of shoulder can significantly improve the function of shoulder joint,increase joint stability,re-duce surgical bleeding,shorten postoperative hospital stay,reduce complications,and improve the short-term progno-sis of patients.

Arthroscopic surgeryJoint functionAnterior shoulder dislocationprognosis

邓贵殿、蓝瑞鸿、黄美芹、赖煌杰

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漳州市第二医院外二科,福建 漳州 363100

漳州市第二医院门诊,福建 漳州 363100

漳州市第二医院骨科,福建 漳州 363100

关节镜手术 关节功能 肩关节前脱位 预后

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(20)