肩关节镜下辅助小切口治疗肩袖撕裂的长期疗效研究

发布时间：2018-06-07 10:48

本文选题：肩袖撕裂 + 关节镜　；参考：《中国矫形外科杂志》2017年06期

【摘要】：[目的]关节镜下治疗肩袖撕裂在国内已得到广泛应用,其短期疗效报道较多,而长期研究还不多见,本研究目的是观察肩关节镜下辅助小切口治疗肩袖撕裂的长期临床效果。[方法]回顾性研究本科2007年2月~2010年3月收治的使用肩关节镜下辅助小切口技术修补肩袖撕裂患者32例,平均年龄53.4岁,比较术前、术后1年及末次随访时患者疼痛视觉模拟评分(VAS)、美国洛杉矶加利福尼亚大学评分(UCLA)及Constant-Murley评分,评价术后肩关节活动范围及肌力恢复情况。[结果]所有患者均得到随访,随访时间36~61个月,平均48个月。患者术后VAS、UCLA、Constant-Murley评分均较术前明显改善,术后1年与末次随访时差异有统计学意义(P0.05)。术后肩关节活动范围和肩袖肌力较术前增加,差异有统计学意义(P0.05)。[结论]肩关节镜下辅助小切口治疗肩袖撕裂手术效果确切,长期随访显示肩关节功能恢复良好,患者满意率高。
[Abstract]:Objective: arthroscopic treatment of rotator cuff tear has been widely used in China, its short-term efficacy is reported more, but the long-term research is rare. The purpose of this study is to observe the long-term clinical effect of arthroscopic treatment of rotator cuff tear with small incision. [methods] from February 2007 to March 2010, 32 patients with rotator cuff tears were treated with arthroscopic mini-incision technique. The mean age was 53.4 years. The pain visual analogue score (VASA) and the UCLA (UCLA) and Constant-Murley scores were used to evaluate the range of shoulder motion and the recovery of muscle strength after 1 year and the last follow-up. [results] all patients were followed up for 36 ~ 61 months (mean 48 months). The Constant-Murley scores of patients with VASV UCLAA were significantly improved compared with those before operation, and there was a significant difference between the postoperative 1 year and the last follow-up (P 0.05). The range of shoulder joint motion and the muscle strength of rotator cuff were increased after operation, and the difference was statistically significant (P 0.05). [conclusion] the treatment of rotator cuff tear with small incision under shoulder arthroscopy is effective. The long term follow-up shows that the function of shoulder joint recovered well and the satisfaction rate of the patients was high.
【作者单位】：承德医学院附属医院关节外科;
【分类号】：R687.4

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