Curative effect of acupotomoscope lysis combined with medical chitosan injection on frozen shoulder

YANG Hao-tian; JIA Yu-song; MA Hui; YUAN Lin; LI Ya-feng; MA Sheng; ZHAO Xue-qian

doi:10.11659/jjssx.03E023181

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Curative effect of acupotomoscope lysis combined with medical chitosan injection on frozen shoulder

Clinical Research | 更新时间：2023-11-24

- Curative effect of acupotomoscope lysis combined with medical chitosan injection on frozen shoulder
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 32, Issue 11, Pages: 1010-1012(2023)
- 作者机构：
  
  1.北京中医药大学东直门医院骨科，北京100700
  2.清华大学玉泉医院/清华大学中西医结合医院骨科，北京 100040
  3.北京中西医结合医院骨科，北京 100038
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.03E023181
  CLC： R648.3
- Published：25 November 2023，
  
  Received：29 March 2023，
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杨浩田,贾育松,马慧等.针刀镜下松解术联合医用几丁糖注射治疗冻结肩的疗效观察[J].局解手术学杂志,2023,32(11):1010-1012.

YANG Hao-tian,JIA Yu-song,MA Hui,et al.Curative effect of acupotomoscope lysis combined with medical chitosan injection on frozen shoulder[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(11):1010-1012.
杨浩田,贾育松,马慧等.针刀镜下松解术联合医用几丁糖注射治疗冻结肩的疗效观察[J].局解手术学杂志,2023,32(11):1010-1012. DOI： 10.11659/jjssx.03E023181.

YANG Hao-tian,JIA Yu-song,MA Hui,et al.Curative effect of acupotomoscope lysis combined with medical chitosan injection on frozen shoulder[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(11):1010-1012. DOI： 10.11659/jjssx.03E023181.

摘要

目的

观察针刀镜下松解术联医用几丁糖注射治疗冻结肩的临床疗效。

方法

回顾性分析45例采用针刀镜下松解术联合医用几丁糖注射治疗的冻结肩患者临床资料。比较术前、术后1周、术后1个月、术后3个月的肩关节疼痛视觉模拟量表（VAS）评分、Constant-Murley肩关节功能评分。评价临床疗效，记录切口愈合情况及不良反应发生情况。

结果

与术前相比，术后1周、术后1个月、术后3个月患者VAS评分均明显降低，Constant-Murley肩关节功能评分明显升高，差异均具有统计学意义（

0.01）。随着时间的变化，VAS评分逐渐降低，Constant-Murley肩关节功能评分逐渐升高，差异均有统计学意义（

0.01）。治疗有效率为91.11%，手术过程中无不良反应发生，术后切口Ⅰ期愈合。

结论

针刀镜下松解术联合医用几丁糖注射治疗冻结肩，可明显缓解肩关节疼痛症状，改善肩关节功能，且损伤小，操作简便，安全性高。

Abstract

Objective

To investigate the clinical efficacy of acupotomoscope lysis combined with medical chitosan injection in the treatment of frozen shoulder.

Methods

The clinical data of 45 patients with frozen shoulder treated by acupotomoscope lysis combined with medical chitosan injection were retrospectively analyzed. The shoulder pain visual analogue scale （VAS） score and Constant-Murley shoulder function score before operation， and 1 week， 1 month and 3 months after operation were compared. The clinical efficacy was evaluated， and the incision healing and the occurrence of adverse reactions were recorded.

Results

The VAS scores decreased significantly and the Constant-Murley shoulder joint function scores increased significantly 1 week， 1 month and 3 months after operation compared with those before operation，the differences were statistically significant（

0.01）. With the extension of time， the VAS score gradually decreased and the Constant-Murley shoulder function score gradually increased， the differences were statistically significant （

0.01）. The total effective rate was 90.11%， and no adverse reactions occurred during the operation.The incision healed at stage Ⅰ after operation.

Conclusion

Acupotomoscope lysis combined with medical chitosan injection for the treatment of frozen shoulder can significantly relieve the symptoms of pain and improve the function of shoulder， with less injury， simple operation and high safety.

关键词

针刀镜松解术医用几丁糖冻结肩

Keywords

acupotomoscopearthrolysismedical chitosefrozen shoulder

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