关节镜下治疗肩袖钙化性肌腱炎的近期疗效_Chinese Journal of Reparative and Reconstructive Surgery

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牛福文 , 张茂枢 , 刘庆胜 , 李林 , 聂志奎 , 郭洪敏

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Keywords：

肩关节; 钙化性肌腱炎; 关节镜; 关节功能

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目的总结关节镜下治疗肩袖钙化性肌腱炎的近期疗效。方法2007年7月－2011年6月，采用关节镜下彻底清除钙化灶治疗20例肩袖钙化性肌腱炎患者。男6例，女14例；年龄38～62岁，平均48.2岁。肩关节疼痛3～12个月，平均6.8个月；肩关节功能均严重受限。钙化灶位于肩袖表面6例，冈上肌腱内8例，冈上、冈下肌腱交界处4例，冈下肌腱内2例。结果术后患者切口均Ⅰ期愈合，无手术相关并发症发生。患者均获随访，随访时间6～24 个月，平均16个月。术后6个月复查X线片示钙化灶均消失。术后患者运动或静息时关节疼痛均较术前显著改善，术后1、4周及6个月时关节疼痛评分、关节活动度评分以及关节功能评分与术前比较，差异均有统计学意义（P lt; 0.05）。结论关节镜下治疗肩袖钙化性肌腱炎可彻底清除钙化灶，恢复肩关节活动度，缓解关节疼痛，近期疗效较好。

Citation： 牛福文,张茂枢,刘庆胜,李林,聂志奎,郭洪敏. 关节镜下治疗肩袖钙化性肌腱炎的近期疗效. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(2): 245-246. doi: Copy

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1. Gerster JC. Apatite deposition diseases. Rev Med Suisse, 2007, 3(103): 747-752.
2. Ea HK, Lioté F. Calcium pyrophosphate dihydrate and basic calcium phosphate crystal-induced arthropathies: update on pathogenesis, clinical features, and therapy. Curr Rheumatol Rep, 2004, 6(3): 221-227.
3. Molé D, Kempf JF, Gleyze P, et al. Results of endoscopic treatment of non-broken tendinopathies of the rotator cuff. 2. Calcifications of the rotator cuff. Rev Chir Orthop Reparatrice Appar Mot, 1993, 79(7): 532-541.
4. 姜春岩, 冯华, 王满宜, 等. 钙化性肩袖肌腱炎的关节镜治疗. 中华手外科杂志, 2005, 21(1): 3-5.
5. 肖健, 崔国庆, 王健全. 肩袖钙化性肌腱炎的关节镜治疗. 中华关节外科杂志, 2012, 4(1): 12-17.
6. Seil R, Litzenburger H, Kohn D, et al. Arthroscopic treatment of chronically painful calcifying tendinitis of the supraspinatus tendon. Arthroscopy, 2006, 22(5): 521-527.
7. Jacobs R, Debeer P. Calcifying tendinitis of the rotator cuff: functional outcome after arthroscopic treatment. Acta Orthop Belg, 2006, 72(3): 276-281.
8. Porcellini G, Paladini P, Campi F, et al. Arthroscopic treatment of calcifying tendinitis of the shoulder: clinical and ultrasonographic follow-up findings at two to five years. J Shoulder Elbow Surg, 2004, 13(5): 503-508.
9. 贺业腾, 闰新峰, 张明, 等. 是否保留肩袖对肩巨大钙化性肌健炎手术疗效的影响. 中国矫形外科杂志, 2007, 15(17): 1293-1295.

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Chinese Journal of Reparative and Reconstructive Surgery

关节镜下治疗肩袖钙化性肌腱炎的近期疗效

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