Bigliani L U, Flatow E L, Deliz E D
College of Physicians and Surgeons, Columbia University, New York, NY.
Orthop Rev. 1991 Sep;20(9):743-51.
Shoulder arthroscopy has become a popular therapeutic and diagnostic procedure during the past decade. As with all new procedures, complications can occur. The highest complication rate (3.2%) was noted with staple capsulorrhaphy, and recurrence is more likely than with open repairs. Subacromial space procedures are safe, with a very low complication rate of less than 1%; short-term results are favorable. Proper patient selection and attention to technical considerations will decrease the incidence of complications. Careful positioning of the patient and the extremity lessens the potential of pressure and traction neuropraxias. Electrosurgical instruments plus adequate distension pressure help minimize intraoperative bleeding, thus improving visualization. Infection rates have been low, ranging from .04% to 3.4%.
在过去十年中，肩关节镜检查已成为一种常用的治疗和诊断方法。与所有新手术一样，可能会出现并发症。钉合关节囊缝合术的并发症发生率最高（3.2%），且复发的可能性高于开放修复术。肩峰下间隙手术很安全，并发症发生率极低，不到1%；短期效果良好。正确选择患者并注意技术细节将降低并发症的发生率。患者和肢体的正确摆放可减少压力性和牵张性神经失用症的发生可能性。电外科器械加上足够的扩张压力有助于减少术中出血，从而改善视野。感染率一直很低，在0.04%至3.4%之间。
