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目的探讨关节镜下手术治疗肩袖慢性钙化性肌腱炎的指征、方法和疗效。方法对57例有症状的肩袖钙化性肌腱炎进行治疗,其中15例行非手术治疗6个月效果欠佳,采用关节镜下手术清除病灶的方法治疗。结果 15例获得随访8~24个月。15例术后VAS评分(1.0±0.5)分,术后Constant-Murley评分(92.2±4.3)分,两者与术前比较,差异均有统计学意义(P<0.05)。肩关节活动度恢复良好。结论钙化灶出现于肩峰下或病灶巨大时宜行手术治疗,关节镜下清除钙化灶治疗肩袖慢性钙化性肌腱炎安全有效。
Objective To investigate the indications, methods and efficacy of arthroscopic surgery in the treatment of rotator cuff chronic calcific tendinitis. Methods Fifty-seven patients with symptomatic rotator cuff calcification tendon were treated. Among them, 15 patients underwent non-surgical treatment for 6 months and were ineffective. They were treated by arthroscopic debridement. Results 15 cases were followed up for 8 to 24 months. The postoperative VAS score (1.0 ± 0.5) and postoperative Constant-Murley score (92.2 ± 4.3) were significantly different between the two groups (P <0.05). Shoulder activity recovered well. Conclusion Calcification appears in the acromion or lesions should be treated with huge surgery, arthroscopic removal of calcification in the treatment of rotator cuff chronic calcific tendinitis safe and effective.