关节镜下单排与缝线桥技术修复中型肩袖撕裂——临床与核磁共振评价

发布时间：2018-03-01 03:02

  本文关键词： 肩袖撕裂 缝线桥 单排 磁共振　出处：《中国运动医学杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的:比较评估关节镜下单排与缝线桥技术修复中型肩袖撕裂的临床疗效。方法:回顾性分析我科于2014年7月至2015年6月收治的55例中型肩袖撕裂患者,所有患者由同一医生于关节镜下以缝线锚钉单排(n=29)或缝线桥(n=26)技术修复撕裂肩袖。记录并比较术前及末次随访时的肩关节功能评分:美国肩肘外科医师协会评分(ASES评分)、美国加州大学洛杉矶分校肩关节评分(UCLA评分)和复旦大学肩关节评分(FUSS评分),以及疼痛视觉量表评分(VAS评分)和肩关节活动度(前屈、外展、体侧外旋)。末次随访时拍摄MRI以评估缝合肩袖的愈合情况。结果:50例患者获得随访,其中缝线桥组24例,单排组26例。两组间年龄、性别、随访时间、患侧差异无统计学意义。两组患者间术前功能评分(ASES,UCLA,FUSS)、VAS评分以及肩关节活动度(前屈,外展,体侧外旋)差异无统计学意义。术后两组患者各项指标均得到明显改善,但两组间差异无统计学意义。MRI检查发现两组均无患者出现再撕裂,缝线桥组sugayaⅠ型患者较单排组比例更高(83.3%vs 61.5%),但差异无统计学意义。结论:关节镜下缝线桥技术治疗中型肩袖撕裂早期结果优良,安全有效,但相比传统单排技术,未显示出明显优势,MRI结果虽提示肩袖愈合情况可能更优,远期疗效仍有待深入研究。
[Abstract]:Objective: to compare and evaluate the clinical effect of arthroscopic single-row and suture bridge in the repair of mid-sized rotator cuff tears. Methods: 55 patients with moderate rotator cuff tears treated in our department from July 2014 to June 2015 were retrospectively analyzed. All patients underwent arthroscopic repair of torn rotator cuff with single row of suture anchors or suture bridge. Shoulder joint function scores were recorded and compared before and after the last follow-up: American Association of shoulder and Elbow Surgeons score. ASES score, UCLA score of UCLA at UCLA, FUSS score of Fudan University, and visual scale of pain (VAS) and range of shoulder motion (anterior flexion). MRI was taken at the last follow-up to evaluate the healing of sutured rotator cuff. Results 50 patients were followed up, including 24 cases in suture bridge group and 26 cases in single row group. There was no significant difference in the affected side between the two groups. There was no significant difference in the preoperative functional score and the VAS score and the range of shoulder motion (flexion, abduction, lateral rotation) between the two groups. However, there was no significant difference between the two groups. The proportion of sugaya 鈪，

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