透明质酸钠与可吸收医用膜结合肩关节镜下松解术治疗冻结肩的疗效研究*

Comparative analysis of the effects of sodium hyaluronate and absorbable medical film with arthroscopic release in treatment of frozen shoulder*

摘要:

目的 比较透明质酸钠（SH）注射与可吸收医用膜植入结合肩关节镜下松解术治疗冻结肩的临 床效果。方法 选取2015 年9 月-2016 年12 月冻结肩患者40 例，应用肩关节镜下松解术后SH 注射20 例（SH 组），应用肩关节镜下松解术后可吸收医用膜植入20 例（医用膜组），比较两组术后肩关节疼痛视觉模拟评分 （VAS）和美国肩肘外科医师协会（ASES）、加州大学洛杉矶分校（UCLA）肩关节功能评分。结果 术后6 个月随访时，两组术后VAS 评分、ASES 评分、UCLA 评分均较术前明显改善（P <0.05），两组间VAS 评分、 ASES 评分及UCLA 评分差异无统计学意义。结论 SH 与可吸收医用膜结合肩关节镜下松解术治疗冻结肩均 可提高术后肩关节功能，两者不存在显著差异。

Abstract:

Objective To compare the clinical effects between sodium hyaluronate injection and absorbable medical film implantation with arthroscopic release in treatment of frozen shoulder. Methods 40 cases of frozen shoulder patients from September 2015 to December 2016, 20 cases of sodium hyaluronate injection with arthroscopic release (SH group), 20 cases of absorbable medical film implantation with arthroscopic release (Medical Film group), the visual analogue scale (VAS), the shoulder joint function scores of American Shoulder and Elbow Surgeons (ASES), and University of California at Los Angeles (UCLA) between the two groups were compared. Results After 6 months follow-up, the VAS score, ASES score and UCLA score of the two groups were significantly improved (P < 0.05), the difference of VAS score, ASES score and UCLA score between the two groups were not statistically significant. Conclusion The sodium hyaluronate injection and absorbable medical film implantation with arthroscopic release can improve the shoulder function, and there is no significant difference between them.