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在麻醉下进行五步操纵的短期临床疗效与关节镜肩部手术相结合,用于粘附性囊炎
Weiqing Zeng1, Ziqi Jin1,2, Hongmei Li3
1Department of Orthopaedics, Guilin Municipal Hospital of Traditional Chinese Medicine, Guilin, Guangxi, China.
Frontiers in surgery
|January 26, 2026
概括
关节镜囊释放与麻醉下的五步操纵相结合,改善了六个月的粘合性囊炎的疼痛和功能. 然而,与单独操纵相比,这种组合疗法增加了手术时间,住院时间和成本.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 粘合性囊炎,通常被称为冷肩,显著影响肩膀的移动性和功能.
- 目前的治疗方法旨在恢复运动范围和缓解疼痛,但成功程度各不相同.
研究的目的:
- 评估关节镜囊释放 (ACR) 与麻醉下的五步操纵 (MUA) 结合的短期有效性,与单独治疗粘合性囊炎的五步MUA相比.
主要方法:
- 一项回顾性研究,涉及66名患有粘合性囊炎的患者.
- 患者被分为两组:ACR加五步MUA (n=31) 和单独的五步MUA (n=35).
- 测量结果包括视觉模拟尺度 (VAS) 疼痛和美国肩膀和肘部外科医生 (ASES) 在1周,1个月和6个月后的得分.
主要成果:
- 在手术后六个月,ACR加MUA组与单独MUA组相比,显示出明显较低的VAS疼痛得分 (1.83比2.55) 和更高的ASES功能得分 (76.68比73.43).
- 在手术后一周或一个月后,两组之间没有观察到疼痛或功能的显著差异.
- ACR加MUA组经历了更长的手术时间,增加了住院时间和更高的住院费用.
结论:
- 与单独操纵相比,结合的关节镜囊释放和在麻醉下进行的五步操纵在六个月内为粘合性囊炎提供了更好的疼痛缓解和功能改善.
- 增强的好处伴随着增加的手术时间,住院时间和成本.
- 由于随访时间有限,样本规模小,需要进一步进行长期研究.
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