文章摘要
尚文强,刘晓旭,王琳.肩关节镜下缝线桥技术治疗巨大肩袖撕裂的前瞻性研究.骨科,2022,13(2): 140-145.
肩关节镜下缝线桥技术治疗巨大肩袖撕裂的前瞻性研究
Prospective Study of Arthroscopic Suture-Bridge Technique for Treating Giant Rotator Cuff Tears
投稿时间:2021-05-20  
DOI:10.3969/j.issn.1674-8573.2022.02.009
中文关键词: 巨大肩袖损伤  肩关节镜  单排缝合技术  双排缝合技术  缝线桥技术
英文关键词: Huge rotator cuff  Shoulder arthroscopy  Single-row suture anchor technique  Double-row suture anchor technique  Suture bridge suture anchor technique
基金项目:邯郸市科学技术研究与发展计划项目(19422083046ZC)
作者单位E-mail
尚文强 华北医疗健康集团峰峰总医院骨科河北邯郸 056200 drshanghebei@126.com 
刘晓旭 华北医疗健康集团峰峰总医院骨科河北邯郸 056200  
王琳 华北医疗健康集团峰峰总医院骨科河北邯郸 056200  
摘要点击次数: 2363
全文下载次数: 2313
中文摘要:
      目的 探讨肩关节镜下缝线桥技术治疗巨大肩袖损伤的临床效果。方法 选取我科2018年1月至2020年9月收治的肩袖巨大撕裂病人120例,随机纳入单排缝合组、双排缝合组和缝线桥组,每组40例。比较三组病人治疗前后肩关节疼痛视觉模拟量表(visual analogue scale,VAS)评分、肩关节Constant-Murley功能评分、加州大学洛杉矶分校(University of California at LosAngeles,UCLA)肩关节评分和美国肩肘外科协会(American Shoulder and Elbow Surgeons,ASES)评分及术后并发症发生情况。结果 三组病人术后3个月时VAS评分未见明显统计学差异,但是缝线桥组术后6个月及9个月时VAS评分较单排缝合及双排缝合组明显降低,差异具有统计学意义(P<0.05);术后3、6、12、24个月,缝线桥组的Constant-Murley功能评分、UCLA评分和ASES评分均较单排缝合组及双排缝合组明显增高,差异具有统计学意义(P<0.05);缝线桥组病人再撕裂发生率较单排缝合组及双排缝合组明显降低,差异具有统计学意义(P<0.05)。结论 肩关节镜下利用缝线桥技术修复巨大肩袖全层撕裂,能够取得良好的疗效,更有利于腱骨愈合,是一种合理有效的治疗手段。
英文摘要:
      Objective To explore the clinical effect of suture bridge technique after arthroscopic debridement in the treatment of giant rotator cuff injury. Methods A total of 120 patients with giant rotator cuff tears admitted to our department from January 2018 to September 2020 were selected. Patients were divided into single-row suture group, double-row suture group and suture bridge group randomly. The visual analogue scale (VAS), Constant Murley score, University of California at Los Angeles (UCLA) shoulder score and American Shoulder and Elbow Surgeons (ASES) score and their complications before and after treatment were compared. Results There was no significant difference in VAS score among the three groups at 3 months after operation, but the VAS score at 6 and 9 months after operation in the suture bridge group was significantly lower than that in the single row suture group and double row suture group (P<0.05). At 3, 6, 12 and 24 months after operation, the Constant Murley function score, UCLA score and ASES score in suture bridge group were significantly higher than those in single row suture group and double row suture group (P<0.05). The incidence of re-tears in suture bridge group was significantly lower than that in single row suture group and double row suture group (P<0.05). Conclusion Arthroscopic repair of giant full-thickness rotator cuff tears with suture bridge technology can achieve good curative effect and is more conducive to tendon bone healing. It is a reasonable and effective treatment.
查看全文   下载PDF阅读器
关闭