摘要:
Objective To compare the short-term and long-term efficacy of minimally invasive surgery and medication for early primary frozen shoulder (PFS). Methods 82 patients with PFS from June 2014 to September 2015 were enrolled in the study and randomly divided into drug group and operation group, 41 cases in each. Patients in drug group were given steroid hormone intraarticular injection therapy while in operation group, patients were given arthroscopic clearance and release for glenohumeral joint and subacromial space. The baseline data, scores of visual analogue scale (VAS) and constant shoulder joint, active range of motion (ROM) of internal rotation, external rotation, abduction and flexion. Results There were no significant differences in baseline data, scores of VAS and constant shoulder joint, active range of motion (ROM) before treatment between the two groups (P > 0.05). Compared with them before treatment, the VAS scores of the two groups decreased significantly after treatment while constant shoulder score and active ROM increased significantly (P 0.05),具有可比性.与治疗前相比,两组患者治疗后的VAS评分均明显降低,Constant肩关节评分、主动ROM均明显升高,差异有统计学意义(P<0.05).在治疗后4周,手术组患者的VAS评分明显高于药物组,Constant肩关节评分、主动ROM明显低于药物组,差异有统计学意义(P<0.05).在治疗后12周、半年和1年,手术组患者的VAS评分明显低于药物组,Constant肩关节评分、主动ROM明显高于药物组,差异有统计学意义(P<0.05).结论 肩关节镜下微创手术与药物注射都是早期PFS患者的有效治疗方法,药物注射的近期疗效显著,但远期疗效较差,而微创手术的远期效果更加突出,配合术后的药物口服和康复锻炼能显著改善其肩关节功能和生活质量,值得临床推广应用.