摘要
目的探讨关节镜辅助单排或双排肩袖修补术在巨大肩袖撕裂患者中的应用价值。方法选取2018年1月至2020年9月医院收治的巨大肩袖撕裂患者80例,依据随机数字表法分为两组,每组40例。试验组采用关节镜辅助双排肩袖修补术治疗,对照组采用关节镜辅助单排肩袖修补术治疗,比较两组术前和术后3个月的肩关节功能、疼痛评分、肩关节活动度,并统计两组术后3个月的再撕裂率。结果术前,两组美国加州大学肩关节评分法(UCLA)、视觉模拟评分法(VAS)评分比较,差异均无统计学意义(P>0.05);术后3个月,试验组UCLA评分高于对照组,VAS评分低于对照组,差异均有统计学意义(P<0.05)。术前,两组肩关节外旋、内旋、后伸、前屈度比较,差异均无统计学意义(P>0.05);术后3个月,两组肩关节外旋、内旋、后伸、前屈度均较术前增大,且试验组大于对照组,差异均有统计学意义(P<0.05)。术后3个月,试验组再撕裂率为7.50%,低于对照组的25.00%,差异有统计学意义(P<0.05)。结论采取关节镜辅助双排肩袖修补术治疗巨大肩袖撕裂患者的效果优于单排修补术,且可有效降低再撕裂的发生风险。
Objective The application value of arthroscopy assisted single or double row rotator cuff repair in patients with huge rotator cuff tear was explored. Methods 80 patients with huge rotator cuff tears admitted to the hospital from January 2018 to September 2020 were selected and divided into two groups according to the random number table method, with 40 cases in each. The experiment group was treated with arthroscopy assisted double row rotator cuff repair, while the control group was treated with arthroscopy assisted single row rotator cuff repair. The shoulder joint function,the pain scores and the shoulder joint range of motion were compared between the two groups before and 3 months after operation and the re-tear rate 3 months after operation between the two groups were statistically analyzed. Results When scores of the university of California at Los Angeles shoulder rating scale(UCLA) and visual analogue scale(VAS) were compared between the two groups before operation, the differences were not statistically significant(P>0.05);3 months after operation, the UCLA scores of the experiment group were higher than that of the control group, the VAS scores of the experiment group were lower than that of the control group, and the differences were statistically significant(P<0.05). When the degrees of shoulder joint abduction, adduction, extension and flexion were compared before operation, the differences were not statistically significant(P>0.05);3 months after operation, the degrees of shoulder joint abduction, adduction, extension and flexion of the two groups were both larger than those before operation, and those of the experiment group were larger than those of the control group, and the differences were statistically significant(P<0.05). 3 months after operation, the retear rate of the experiment group(7.50%) was lower than that of the control group(25.00%), and the difference was statistically significant(P<0.05). Conclusion Arthroscopy assisted double row rotator cuff repair is superior to single row rotator cuff repair in the treatment of huge rotator cuff tear patients, and is conducive to reduce the risks of re-tear.
作者
王纪锋
周鸣
Wang Jifeng;Zhou Ming(Osteoarticular Center,YixingPeople's Hospital,Yixing Jiangsu 214200,China)
出处
《医疗装备》
2021年第19期105-107,共3页
Medical Equipment
关键词
关节镜
单排肩袖修补术
双排肩袖修补术
巨大肩袖撕裂
Arthroscopy
Single row rotator cuff repair
Double row rotator cuff repair
Huge rotator cuff tear
