摘要
背景:肩袖损伤是肩关节损伤最常见的类型,缝线桥技术使关节镜手术成为肩袖损伤的主要治疗方法,但术后愈合慢和再损伤的问题却一直困扰着临床医师。目的:对比关节镜下双滑轮无结缝线桥技术与传统缝线桥技术治疗肩关节损伤患者的临床疗效。方法:选取2014年6月至2016年6月需关节镜手术治疗的肩袖损伤患者94例,采用随机数字表法分为实验组和对照组各47例。实验组应用双滑轮无结缝线桥技术,对照组应用传统缝线桥技术。对比两组患者的术前一般资料,以VAS评分、肩关节Constant评分、ASES评分、UCLA评分、肩关节前屈活动度、体侧外旋活动度和术后再损伤率为评估指标评价两种技术的治疗效果并进行组间对比。结果:两组患者术后12个月的VAS评分、肩关节Constant评分、ASES评分、UCLA评分、肩关节前屈角度、体侧外旋角度较术前均有明显改善,差异有统计学意义(P<0.05)。实验组与对照组患者术后12个月的VAS评分、肩关节Constant评分、ASES评分、UCLA评分、肩关节前屈角度、体侧外旋角度差异无统计学意义(P>0.05),但实验组术后12个月的再损伤率(0%)低于对照组(16.67%),差异有统计学意义(P=0.003)。结论:与传统缝线桥技术相比,关节镜下双滑轮无结缝线桥技术能减少再损伤率,为临床治疗肩袖损伤提供了新的选择。
Background： Rotator cuff injury is the most common type of shoulder joint injury. Suture bridge fixation makes arthroscopic surgical treatment the main treatment for rotator cuff injury. However, slow healing and re-injury after the surgery are still problems for clinicians. Objective： To compare the clinical efficacy of arthroscopic double-pulley knotless suture bridge and traditional suture bridge in the treatment of patients with shoulder joint injury. Methods： A total of 94 patients with rotator cuff injury who underwent arthroscopic surgery in our hospital from June 2014 to June 2016 were selected and divided into experimental group and control group according to surgical methods, each of 47 patients. In the experimental group, double-pulley knotless suture fixation was used, while in the control group, traditional suture fixation was used. The two groups of patients were compared before and after treatment by VAS score, shoulder Constant score, ASES score, UCLA score, shoulder flexion and lateral rotation angle, and rotator cuff re-injury rate. Results： The VAS score, shoulder Constant score, ASES score, UCLA score, shoulder flexion and lateral rotation angle of the two groups at 12 months after operation were significantly improved compared with those before operation（P〈0.05）. There were no significant differences in VAS score, shoulder Constant score, ASES score, UCLA score, shoulder flexion and lateral rotation angle between experimental group and control group at 12 months after operation（P〈0.05）. At 12 months after operation, the rate of re-injury in experimental group（0%） was lower than that of the control group（16.67%）. The difference was statistically significant（P=0.003）. Conclusions： Compared with the traditional suture bridge fixation, arthroscopic double-pulley knotless suture bridge fixation can reduce the incidence of re-injury and is expected to become a new option for the clinical treatment of rotator cuff injury.
作者
黄成校
李刚
HUANG Chengxiao;LI Gang(Department of Orthopedics, Dongfeng Hospital, Hubei University of Medicine, Shiyan 442008, Hubei, Chin)
出处
《中华骨与关节外科杂志》
2018年第5期375-377,384,共4页
Chinese Journal of Bone and Joint Surgery
关键词
肩袖损伤
关节镜
外科手术
微创性
Rotator Cuff Injury
Arthroscopy
Surgery
Minimal Invasiveness
