目的: 探讨对肩袖损伤合并肩关节粘连患者,进行关节镜下肩袖缝合联合手法松解术术后肩关节活动度改善及生活质量的影响。方法: 选取2014年1月至2016年5月57例肩袖损伤合并肩关节粘连患者,均于入院后行关节镜下肩袖缝合联合手法松解术治疗,术后随访6个月,对比手术前及术后6个月休息时、活动后关节疼痛以视觉模拟评分法(visual analogue scale,VAS)评分、肩关节前屈、外展、体侧外旋活动度及生活质量(SF-36)评分。结果: 术后6个月,患者休息时、活动后VAS评分低于治疗前(P＜0.05),肩关节前屈、外展、体侧外旋活动度＞治疗前(P＜0.05),SF-36生活质量各方面评分高于治疗前(P＜0.05)。结论: 肩袖损伤合并肩关节粘连患者,进行关节镜下肩袖缝合联合手法松解术治疗,可有效缓解患者肩关节疼痛、改善肩关节活动度,进而有利于其生活质量的提高。

Objective: To investigate the effect of arthroscopic rotator cuff suture combined with manual loosening on postoperative shoulder joint mobility and quality of life in patients with rotator cuff tears and shoulder joint adhesion.Methods: 57 cases of patients with rotator cuff tears and shoulder joint adhesion in the hospital from January 2014 to May 2016 were selected. Arthroscopic rotator cuff suture and manual loosening were performed after admission and followed up for 6 months. The visual analogue scale (VAS) scores, shoulder flexion and abduction, lateral rotation, and quality of life (SF-36) scores were compared between the two groups at rest and after activity before and 6 months after the operation.Results: 6 months after operation, the VAS scores of patients at rest and after activity were lower than those in the control group (P＜0.05). The flexion, abduction and lateral rotation of the shoulder joint were greater than those before the treatment (P＜0.05). The scores of life quality (SF-36) were higher than those before treatment (P＜0.05).Conclusion: The arthroscopic rotator cuff suture combined with manual loosening in the treatment of patients with rotator cuff tears and shoulder joint adhesion can effectively relieve shoulder pain and improve shoulder mobility. It is beneficial to the improvement of the patients' quality of life.