目的 總結關節(jié)鏡下治療肩袖鈣化性肌腱炎的近期療效。 方法2007年7月－2011年6月，采用關節(jié)鏡下徹底清除鈣化灶治療20例肩袖鈣化性肌腱炎患者。男6例，女14例；年齡38～62歲，平均48.2歲。肩關節(jié)疼痛3～12個月，平均6.8個月；肩關節(jié)功能均嚴重受限。鈣化灶位于肩袖表面6例，岡上肌腱內8例，岡上、岡下肌腱交界處4例，岡下肌腱內2例。 結果術后患者切口均Ⅰ期愈合，無手術相關并發(fā)癥發(fā)生?；颊呔@隨訪，隨訪時間6～24 個月，平均16個月。術后6個月復查X線片示鈣化灶均消失。術后患者運動或靜息時關節(jié)疼痛均較術前顯著改善，術后1、4周及6個月時關節(jié)疼痛評分、關節(jié)活動度評分以及關節(jié)功能評分與術前比較，差異均有統(tǒng)計學意義（P lt; 0.05）。 結論關節(jié)鏡下治療肩袖鈣化性肌腱炎可徹底清除鈣化灶，恢復肩關節(jié)活動度，緩解關節(jié)疼痛，近期療效較好。
引用本文： 牛福文,張茂樞,劉慶勝,李林,聶志奎,郭洪敏. 關節(jié)鏡下治療肩袖鈣化性肌腱炎的近期療效. 中國修復重建外科雜志, 2013, 27(2): 245-246. doi: 復制
| 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. | 姜春巖, 馮華, 王滿宜, 等. 鈣化性肩袖肌腱炎的關節(jié)鏡治療. 中華手外科雜志, 2005, 21(1): 3-5. |
| 5. | 肖健, 崔國慶, 王健全. 肩袖鈣化性肌腱炎的關節(jié)鏡治療. 中華關節(jié)外科雜志, 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. | 賀業(yè)騰, 閏新峰, 張明, 等. 是否保留肩袖對肩巨大鈣化性肌健炎手術療效的影響. 中國矯形外科雜志, 2007, 15(17): 1293-1295. |
- 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. 姜春巖, 馮華, 王滿宜, 等. 鈣化性肩袖肌腱炎的關節(jié)鏡治療. 中華手外科雜志, 2005, 21(1): 3-5.
- 5. 肖健, 崔國慶, 王健全. 肩袖鈣化性肌腱炎的關節(jié)鏡治療. 中華關節(jié)外科雜志, 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. 賀業(yè)騰, 閏新峰, 張明, 等. 是否保留肩袖對肩巨大鈣化性肌健炎手術療效的影響. 中國矯形外科雜志, 2007, 15(17): 1293-1295.