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 shoulder arthroscopy with single row suture in the treatment of rotator cuff injury. Methods: 40 cases of rotator cuff repair under arthroscopy in the Department of orthopedics, the First Affiliated Hospital of Medical University Of Anhui, 02 months of 2012, -2014 May, -2014 years, were followed up in 40 cases, including 22 male, 18 female and 37-78 years old (age 37-78 years old). The average age of 47 years), 29 cases of right rotator cuff injury and 11 left side, including 37 cases of small and medium rotator cuff injury and 3 cases of huge rotator cuff injury according to Gerber classification. The operation was performed with metal suture anchor single row suture technique to repair the rotator cuff, using the American shoulder and elbow association score (ASES), Constant-Murley and the UCLA shoulder function of California University in the United States. Results: 40 patients were followed up for 6-31 months (an average of 17.3 months), ASES score was 71.9 before operation and 93.6 (P0.001) after operation, of which the average VAS pain score was 6.9 before operation, the average after operation was 1.7 (P0.001), and the average before the shoulder flexion. For 76.4, the average after operation was 145.6 (P0.001), the average before the external rotation was 24.3 degrees, the average after the operation was 37.8 (P0.01).ASES, 92.5% (37/40).Constant-Murley score was 67.4, the average after the operation was 87.6, the Constant-Murley score was 90% (36/40).UCLA score before the operation, and the average was 31.2 (P0.01) after the operation, and the UCLA score was excellent. 92.5%. conclusion: shoulder arthroscopy single row suture technique is effective in the treatment of rotator cuff injury. It can effectively reduce and even avoid vascular nerve injury during the operation. The postoperative trauma is small, and the recovery is fast. Compared with the traditional open operation, the patient is easier to accept, and the surgical complications are less. It protects the stable joint capsule and muscle of the shoulder joint. Meat and other tissues.
【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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