数字化技术辅助关节镜下个体化大结节成形术治疗肩峰撞击征

潘昭勋; 杜德凯; 都本才; 孙超; 杨晓明; 闵小军

doi:10.13418/j.issn.1001-165x.2017.06.019

中国临床解剖学杂志 ›› 2017, Vol. 35 ›› Issue (6) : 684-687. DOI: 10.13418/j.issn.1001-165x.2017.06.019

临床研究

数字化技术辅助关节镜下个体化大结节成形术治疗肩峰撞击征

潘昭勋，　杜德凯，　都本才，　孙超，　杨晓明，　闵小军

作者信息 +

Digital technology assisted arthroscopic individualized greater tuberosity plasty for treatment of subacromial impingement syndrome

PAN Zhao-xun, DU De-kai, DU Ben-cai, SUN Chao, YANG Xiao-ming, MIN Xiao-jun

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摘要

目的　探讨基于肱骨头相对高度的数字化测量法治疗肩峰撞击征的临床疗效。方法　自2014年2月至2016年3月,收治肩峰撞击综合征患者89名，术前通过CT测量肱骨头相对高度计算磨削厚度，术中C型臂透视对肱骨大结节施行个体化成形术。对比手术前后CT数据及CMS和VAS评估成形后临床疗效。结果　在平均15.5个月的随访中,88例患者获得跟踪随访，1例失访。末次随访时，所有患者肩关节功能均恢复至正常范围，肱骨头相对高度由术前的(0.73±0.15)cm增加到(1.08±0.08)cm（P<0.05）， CMS由术前的(46.7±3.99)增加至( 91.8±2.32) （P＜0.05）,VAS由术前的(5.3±1.1)降低到(0.6±0.3)（P<0.05）。结论　关节镜下基于肱骨头相对高度的数字化测量法治疗肩峰撞击征的临床疗效可靠。

Abstract

Objective　To investigate the clinical effect of digital measurement based on the relative height of humeral head in the treatment of acromion impingement syndrome.　Methods　From February 2014 to March 2016, 89 patients with impingement syndrome were admitted. The relative height of the humeral head was measured by CT before the operation, andwe used C-type-arm to determine grinding position during the operation.We compared CT data，CMS andVAS between preoperation and postoperation to evaluate the clinical efficacy.　Results 　During an average follow-up of 15.5 months,88 patients were followed-up. At the last follow-up, all patients’ shoulder function has fully recovered. The relative height of humeral head was increased from (0.73±0.15) cm to (1.08±0.08) cm (P<0.05). The CMS was increased from (46.7±3.99) to (91.8±2.32) (P<0.05),and the VAS decreased from (5.3±1.1) to (0.6±0.3) (P<0.05).　Conclusion　The clinical efficacy of arthroscopic greater tuberosity plasty based on digital measurement of the relative height of humeral head for the treatment of acromion impingement syndrome was reliable.

导出引用

潘昭勋,杜德凯,都本才,孙超,杨晓明,闵小军. 数字化技术辅助关节镜下个体化大结节成形术治疗肩峰撞击征[J]. 中国临床解剖学杂志. 2017, 35(6): 684-687 https://doi.org/10.13418/j.issn.1001-165x.2017.06.019

PAN Zhao-xun, DU De-kai, DU Ben-cai, SUN Chao, YANG Xiao-ming, MIN Xiao-jun. Digital technology assisted arthroscopic individualized greater tuberosity plasty for treatment of subacromial impingement syndrome[J]. Chinese Journal of Clinical Anatomy. 2017, 35(6): 684-687 https://doi.org/10.13418/j.issn.1001-165x.2017.06.019

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