肩关节镜下单排缝合技术治疗肩袖损伤疗效评估

发布时间：2018-06-14 00:16

本文选题：关节镜 + 单排缝合　；参考：《安徽医科大学》2015年硕士论文

【摘要】：目的：评估肩关节镜下单排缝合技术治疗肩袖损伤的效果。方法：选取安徽医科大学第一附属医院骨科运动创伤与关节镜外科2012年02月-2014年5月40例行肩关节镜下肩袖修补术患者,40例均获得术后随访。其中男22例,女18例,年龄37-78岁(平均年龄47岁),右侧肩袖损伤29例,左侧11例。根据Gerber分型,其中中小型肩袖损伤37例,巨大肩袖损伤3例。手术均采用金属缝合锚单排缝合技术进行肩袖修补,采用美国肩肘医师协会评分(ASES)、Constant-Murley以及美国加州大学UCLA肩关节功能评分标准进行术前术后功能评估。结果：40例患者术后均获得随访,随访时间6-31个月(平均17.3个月),ASES评分：40例患者术前平均为71.9,术后平均为93.6(P0.001),其中VAS疼痛评分术前平均为6.9,术后平均为1.7(P0.001),肩关节前屈上举术前平均为76.4,术后平均为145.6(P0.001),外旋术前平均为24.3°,术后平均为37.8°(P0.01)。ASES评分优良占92.5%(37/40)。Constant-Murley评分术前为67.4,术后平均为87.6, Constant-Murley评分优良占90%(36/40)。UCLA评分术前平均为15.1,术后平均为31.2(P0.01),UCLA评分优良占92.5%。结论：肩关节镜下单排缝合技术治疗肩袖损伤的效果较好,术中可有效的减少甚至避免血管神经的损伤。术后创伤小、恢复快,与传统开放手术相比患者较容易接受,且手术并发症较少,有效的保护了维持肩关节稳定的关节囊及肌肉等组织。
[Abstract]:Objective: to evaluate the effect of single-row suture under shoulder arthroscopy in the treatment of rotator cuff injury. Methods: from February 2012 to May 2014, 40 patients underwent arthroscopic rotator cuff repair in the Department of Orthopaedic Trauma and arthroscopy in the first affiliated Hospital of Anhui Medical University were followed up. There were 22 males and 18 females aged 37-78 years (mean age 47 years), 29 cases with right rotator cuff injury and 11 cases with left rotator cuff injury. According to Gerber classification, there were 37 cases of small rotator cuff injury and 3 cases of giant rotator cuff injury. Metal suture anchor single row suture technique was used to repair the rotator cuff. ASESU Constant-Murley scale and UCLA UCLA function scale were used to evaluate the preoperative and postoperative function. Results all 40 patients were followed up after operation. The follow-up time was 6-31 months (mean 17.3 months). The average preoperative score was 71.9, and the postoperative average was 93.6p 0.001. The average VAS pain score was 6.9 before, 1.7 P 0.001 after operation, 76.4 before and after the shoulder flexion. The average score was 24.3 掳before external rotation, 37.8 掳before operation, 37.8 掳P 0.01U 路ASES, 92.5% 37 / 40%. Constant-Murley score was 67.4 before operation, 87.6 after operation, excellent Constant-Murley score accounted for 15.1% of 90 cases before operation, and 31.2 掳P 0.01 after operation, and 92.5% with good UCLA score. Conclusion: single row suture under shoulder arthroscopy is effective in the treatment of rotator cuff injury, which can effectively reduce or even avoid the injury of blood vessel and nerve. Compared with the traditional open surgery, the patients were more easily accepted and had fewer complications, which effectively protected the joint capsule and muscle tissue which maintained the stability of the shoulder joint.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.4

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