糖尿病及黏连性肩关节囊炎时长对手术治疗患者的影响分析

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Abstract Objective To analyze and evaluate the influence of diabetes mellitus and symptom duration on the prognosis of frozen shoulder patients undergoing arthroscopic shoulder joint release.Methods A total of 45 frozen shoulder patients from June 2019 to April 2022 from the third affiliated hospital of Anhui Medical University were collected in this study，including 18 males and 27 females，aged 47~66 years，with an average of (53.4±6.1) years.All patients underwent arthroscopic surgeries after complete preoperative examination and perioperative preparation.The patients were divided into group A (within 3 months)，group B (3~6 months)，and group C (more than 6 months) according to the total duration of shoulder symptoms before surgery.This study analyzed the range of motion(ROM)，disabilities of the arm，shoulder，and hand score(DASH)，American shoulder and elbow surgeons(ASES)，visual analogue score(VAS)，pain duration，and total disease duration to explore the effect of diabetes mellitus and duration of frozen shoulder on the prognosis of patients with frozen shoulder treated by arthroscopic surgery.Results All patients were followed up for 1~19 months，with an average follow-up of(17.3±5.1) months.The degrees of shoulder flexion，abduction，and internal rotation of patients without or with diabetes after surgery were：(164.4±20.2)°、(169.9±18.7)°、(38.5±8.0)°，(161.3±19.8)°、(170.6±14.2)°、(34.6±9.4)°.The postoperative DASH score，ASES score，and VAS score of patients without or with diabetes were：(9.4±10.1)、(86.2±13.2)、(7.9±1.4)，(12.5±12.9)、(82.6±17.1)、(7.8±1.9).Time to complete pain relief after the operation and the total duration of frozen shoulder in the patients without or with diabetes were (3.6±3.5) weeks、(31.4±7.3) months，(3.7±2.5) weeks、(38.7±12.5)months.The duration of shoulder symptoms of A、B、C group had a statistically significant effect on internal rotation (P＝0.02)，A、B、C group had significant differences in the total symptom duration and postoperative symptom duration (P＜0.001)，the ASES score of patients in group B and group C after surgery was significantly higher than that in group A (P＝0.02)，and the DASH score of patients in diabetic group was significantly higher than that in non-diabetic group (P＝0.03).Conclusion Arthroscopic release surgery is an effective method for the treatment of frozen shoulder，and its efficacy is not significantly related to the time of onset of the patient.However，diabetes has a significant impact on the postoperative recovery of patients.

Key words： frozen shoulder arthroscopy diabetes clinical efficacy

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	Articles by authors
	Wu Hao
	Ning Rende
	Liu Fei
	Wang Shuangli

Cite this article:

Wu Hao,Ning Rende,Liu Fei, et al. Influence of Diabetes Mellitus and Symptom Duration of Frozen Shoulder on the Prognosis of Surgical Treated Patient[J]. sygkzz, 2023, 29(01): 10-.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2023/V29/I01/10

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[1]	. [J]. sygkzz, 2023, 29(01): 56-.