中国内镜杂志2023，Vol.29Issue(12)：15-19,5.DOI:10.12235/E20220739
关节镜清理联合富血小板血浆治疗冈上肌钙化性肌腱炎的疗效观察
Effect of arthroscopic debridement combined with platelet rich plasma in treatment of supraspinatus calcified tendinitis
屈宗斌 1柴晟 1李毅成 1蒋杰 1袁振中 1邓章荣1
作者信息
- 1. 桂林市中医医院 骨一科,广西 桂林 541000
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy of arthroscopic debridement combined with platelet rich plasma(PRP)in treatment of supraspinatus calcified tendinitis.Methods 23 patients in the experimental group were treated with shoulder arthroscopic calcification clearing with PRP injection,while 23 patients in the control group were treated with simple arthroscopic clearing,and the curative effects were observed and compared.Results All the patients were followed up effectively.Of the 23 cases in the experimental group,5 cases were treated with rotator cuff repair(3 cases were diagnosed rotator cuff tear before operation,2 cases were diagnosed with large calcification,and rotator cuff repair was performed after cleaning),and 3 cases were treated with rotator cuff repair(2 cases were diagnosed with rotator cuff tear before operation,1 case was diagnosed with large calcification,and rotator cuff repair was performed after cleaning).The visual analogue scale(VAS)of the two groups one month after surgery was significantly lower than that before surgery,and the American Association of Shoulder and Elbow Surgeons(ASES)score of the two groups one month after surgery was significantly higher than that before surgery,with statistical significance(P＜0.05).The VAS of the experimental group was significantly lower than that of the control group one month after surgery,and the ASES score was significantly higher than that of the control group one month after surgery,with statistically significant differences(t =-5.52,t = 8.73,P = 0.001).Conclusion Arthroscopic debridement combined with PRP is an effective and minimally invasive method for the treatment of supraspinatus calcified tendinitis.The calcium salt can be removed as much as possible under arthroscopy,and the scope of rotator cuff injury can be accurately evaluated.For the obvious rotator cuff injury with large damage,the rotator cuff repair with thread anchor nail can be performed.At the same time,combined with PRP,it can accelerate the repair of rotator cuff injury,relieve pain,and accelerate the functional recovery of shoulder joint.关键词
冈上肌钙化性肌腱炎/肩袖损伤/关节镜/富血小板血浆(PRP)Key words
supraspinatus calcified tendinitis/rotator cuff injury/arthroscopy/platelet rich plasma(PRP)分类
医药卫生引用本文复制引用
屈宗斌,柴晟,李毅成,蒋杰,袁振中,邓章荣..关节镜清理联合富血小板血浆治疗冈上肌钙化性肌腱炎的疗效观察[J].中国内镜杂志,2023,29(12):15-19,5.
