肩膀痛痛不舉怎麼辦 微創手術還你好「膀」樣
2022-05-14 記者莊兆暉／台南報導
60歲的總鋪師陳先生，多年來長期使用沉重的廚具，讓他的肩膀累積出嚴重的職業傷害，近年來得靠止痛藥度日才能強撐下去，55歲的陳女士則是左側肩膀疼痛超過半年時間，透過物理復健治療仍沒有顯著效果，疼痛難耐因此失眠；最後2人選擇到新營醫院進行微創手術，術後狀況良好，總算不用吃藥止痛，也能一夜好眠。
肩膀常見的問題有五十肩跟旋轉肌斷裂。（新營醫院提供）
衛福部新營醫院骨科醫師林孝儒表示，肩膀由骨頭、肌肉、肌腱、韌帶所構成，是人體活動度最大的關節，相對地也容易受傷，而肩關節易受傷的高危險族群，一般為職業傷害（如快遞員、搬家工人）、運動員、年過40歲中年人、突然做費力的大動作者及肩膀肌肉缺乏鍛練者。
林孝儒說，最常見的肩部問題有五十肩與旋轉肌斷裂2種，五十肩正式名稱是「黏連性肩關節囊炎」，也叫做冷凝肩、冰凍肩，發生主因是肩膀關節囊組織發炎，導致肩膀疼痛、無法抬高而難以做到對側梳頭等動作；旋轉肌破裂的病人，則是因肌腱斷裂而無法自行抬高肩膀，但在別人的協助下可以把手抬高，如果沒有即時適當處理，及高機率會越趨嚴重。
肩膀傷勢可透過微創關節鏡手術治療。（新營醫院提供）
林孝儒表示，這兩種狀況早期都可以選擇以復健方式治療，但如果效果不明顯，就可以考慮以外科手術處理，而傳統外科手術治療關節內損傷，通常需要破壞關節周圍的軟組織，打開關節囊後，才能加以治療，因此有術後傷口疼痛、住院天數長、復健時間長和術後疤痕緊縮及關節內的黏連，因此降低關節的活動度等後遺症。
而現在還有微創關節鏡手術可以選擇，林孝儒說，關節內視鏡手術相較與傳統手術，可以完整的視察關節狀況並處理，達到傷口小、效果佳、復原快。相較傳統手術，也可以更全面的檢查及治療問題。
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