摘要
目的:研究关节镜下用缝合锚钉固定软组织治疗肩关节不稳的效果及远期预后。方法:纳入我院2013年1月-2015年12月肩关节不稳患者120例并根据随机数字表法分为均等两组,每一组均有60例,所有患者经关节镜、体格等检查确诊,均为陈旧性损伤,两组的一般资料差异不显著。A组采用保守方法治疗,B组关节镜下用缝合锚钉固定软组织治疗。比较两组患者治疗优良率;1年复发率;治疗前和治疗后患者疼痛评分、SST评分、肩关节前屈和外旋角度的差异。结果:B组治疗优良率93.33%显著比A组75.00%高,P<0.05;B组1年复发率0.00%相较于A组1年复发率10.00%更低,P<0.05;治疗前两组疼痛评分、SST评分、肩关节前屈和外旋角度相似,其中,B组分别为(5.37±1.72)分、(4.05±0.22)分、(65.48±10.62)°、(17.41±2.61)°,A组分别为(5.35±1.76)分、(4.06±0.21)分、(65.46±10.61)°、(17.13±2.61)°,P>0.05;治疗后B组相较于A组疼痛评分、SST评分、肩关节前屈和外旋角度改善更显著,其中,B组分别为1.18±0.21分、9.52±1.59分、(143.97±12.68)°、(32.01±7.24)°,A组分别为(2.01±0.59)分、(7.98±0.34)分、(102.57±10.69)°、(24.13±4.13)°,P<0.05。结论:关节镜下用缝合锚钉固定软组织治疗肩关节不稳的效果确切,远期复发率低,可有效恢复肩关节活动度和功能,减轻患者疼痛,值得推广。
Objective:To study the effect of arthroscopic fixation of shoulder joint instability.Methods:120patients were divided into two groups,60patients in each.Group B was treated with suture anchor soft fixation.Results:The excellent and efficacy of group B was93.33%higher than that of group A75.00%(P<0.05).The recurrence rate of group B was0.00%lower than that of group A.Compared with group A,pain score,SST score,shoulder flexion and external rotation were more significant in treatment group B,and the difference was significant(P<0.05).Conclusion:Arthroscopic fixation of soft tissue with suture anchor is effective in the treating shoulder instability.
出处
《中医临床研究》
2017年第9期82-83,共2页
Clinical Journal Of Chinese Medicine
关键词
关节镜下
缝合锚钉固定软组织
肩关节不稳
效果
远期预后
Arthroscopy
Suture anchor fixation soft tissue
Shoulder joint instability
Effect
Long-term prognosis
