| 朱雪坤 徐斌△ 徐洪港 王瑞 涂俊.肩关节镜下单排缝合技术治疗不同程度肩袖损伤的效果评估[J].,2016,16(7):1309-1313 |
| 肩关节镜下单排缝合技术治疗不同程度肩袖损伤的效果评估 |
| Evaluation of the Arthroscopic Single-row Suture Technique forDifferent Rotator Cuff Injury Study |
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| DOI： |
| 中文关键词: 关节镜 单排缝合 肩袖损伤 效果评估 |
| 英文关键词: Arthroscopy Single-row suture Rotator cuff Curative evaluation |
| 基金项目:安徽省自然科学基金项目（1208085MH157） |
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| 中文摘要: |
| 目的：评估肩关节镜下单排缝合技术治疗不同程度肩袖损伤的效果。方法：选取2012 年02 月-2014 年05 月40 例行肩关节
镜下肩袖修补术患者，根据Gerber 分型，其中中、小型肩袖损伤20 例为一组（以下简称A 组），大的、巨大肩袖损伤20 例为一组
（以下简称B 组）。其中A 组男12 例，女8 例，年龄37-77 岁（平均年龄51 岁），右侧15 例，左侧5 例；B组男10 例，女10 例，年龄
40-78 岁（平均年龄57 岁），右侧18 例，左侧2 例。两组手术均采用金属缝合锚单排缝合技术进行肩袖修补，并采用ASES、
Constant-Murley以及UCLA 肩关节功能评分标准进行术前术后功能评估。结果：两组患者术后均获得随访，随访时间6-31个月
（平均17.3 个月）。通过术后肩关节活动度、三种肩关节功能评分与术前相比，差异有统计学意义( P<0.05 )。A组各项评分优良率
占为95%，B 组优良率占85%。术后患者两组肩关节肿痛症状均明显好转，运动及生活功能恢复正常，肩关节活动度明显改善。A
组较B 组相比，有比较好的手术预期效果，且各项评分结果差异有统计学意义（P<0.05）。结论：缝合锚固件具有良好的相容性和
适应性，固定可靠，具有高强度的优点，以获得稳定的早期固定。对于不同程度肩袖损伤，肩关节镜下单排缝合技术具有创伤小、
恢复快、效果好等优势，配合重建后功能锻炼，肩关节功能能够恢复到令人满意的水平，但中小型肩袖撕裂的术后效果比较大的、
巨大的肩袖撕裂好。 |
| 英文摘要: |
| Objective:To evaluate the efficacies of the arthroscopic single-row suture technique for different rotator cuff injury.Methods:Between 2012 and 2015, a total of 40 cases were diagnosed with different types of rotator cuff injury study, of which 20 cases,
the small rotator cuff injury for one group (Hereinafter referred to as Group A) according to Gerber classification.While the big or huge
rotator cuff injury were divided into another group of 20 cases (Hereinafter referred to as Group B). Group A included 12 males and 8
females, aged 37-77 years old (The average age of 51 years old). And they contained 15 cases of the right shoulder and 5 cases of the
other. However, Group B included 10 males and 10 females, aged 40-78 years old (The average age of 57 years old).They contained 18
cases of the right shoulder and 2 cases of the other. The technique of single-row metal suture anchor was applied to repair the rotator cuff
in both groups of operation. In addition, the preoperative and postoperative shoulder function was measured according to ASES,
Constant-Murley and UCLA shoulder function scores.Results:A mean time of 17.3 months (6-31 months) follow-up was completed
after surgery. The range of motion and three shoulder function scores after surgery had significant differences when compared with those
before operation (P<0.05). The excellent rate accounted for 95%, while the excellent rate in group B was 85%. Postoperative patients’
shoulder swelling and pain had significant improvement, the range of shoulder motion had been obviously improved and sports and life
function had dramatically been improved. Group A has better surgical expected results than group B.Conclusion:Suture anchor has the
advantages of good compatibility and adaptation, reliable fixation with high strength in order to obtain stable early fixation, so that the
arthroscopic single-row suture technique has the advantages of less trauma, quicker recovery and better results for the small rotator cuff
injury. In combination with postoperative rehabilitative exercises, the function of shoulder can reach a satisfactory level. |
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