关节镜下Bankart修复术治疗复发性肩关节前向不稳的疗效分析

发布时间：2018-11-27 18:43

【摘要】：目的评价关节镜下Bankart损伤修复术治疗复发性肩关节前向不稳的临床疗效。方法选取2010年2月-2015年2月因肩关节脱位在该院接受手术治疗的患者共63例,其中53例获得随访,男28例,女25例;年龄16~51岁,平均27.9岁。回顾性分析其临床资料,观察并总结其疗效。采用美国加州洛杉矶大学肩关节评分系统(UCLA)、美国肩肘关节外科协会评分系统(ASES)、肩关节Constant-Murley评分、前屈上举角度、外展外旋角度以及X线征象对术后效果进行评价。各组计量数据采用独立样本t检验进行统计学分析。结果术后的ASES肩关节修正评分(97.0±6.8)分,与术前比较差异具有统计学意义(P0.05);术后UCLA评分(29.6±2.5)分,与术前比较差异具有统计学意义(P0.05)。术后肩关节Constant-Murley评分(99.1±2.4)分,前屈上举平均(168.7±2.7)°,外展外旋平均为(72.6±8.7)°,与术前比较差异均无统计学意义(P0.05)。结论 Bankart修复手术前后肩关节评分具有显著差异,症状改善显著,优良率高,说明对于肩盂骨缺损较轻或无、关节囊及周围韧带组织质量较好的复发性肩关节前脱位患者,关节镜下Bankart修复术具有很好的疗效。为进一步降低复发率,术前应对Bankart修复术后复发不稳的危险因素进行充分评估。
[Abstract]:Objective to evaluate the clinical effect of arthroscopic Bankart repair for recurrent anterior instability of shoulder joint. Methods A total of 63 patients, 28 males and 25 females, were followed up from Feb 2010 to Feb 2015, with an average age of 27.9 years. The clinical data were analyzed retrospectively and the curative effect was observed and summarized. The shoulder joint score system (UCLA),) of the University of California Los Angeles (UCLA) was used to evaluate the shoulder joint Constant-Murley of the American Society of shoulder and Elbow surgery. The postoperative effect was evaluated by abduction angle and X-ray signs. The measurement data of each group were statistically analyzed by independent sample t test. Results the postoperative ASES shoulder correction score (97.0 卤6.8) was significantly higher than that before operation (P0.05), and the postoperative UCLA score (29.6 卤2.5) was significantly higher than that before operation (P0.05). The Constant-Murley score of shoulder joint after operation was (99.1 卤2. 4), the average elevation of anterior flexion was (168.7 卤2. 7) 掳, the average of abduction rotation was (72. 6 卤8. 7) 掳, there was no significant difference compared with that before operation (P0.05). Conclusion the scores of shoulder joint before and after Bankart repair were significantly different, the symptoms were improved significantly, and the excellent and good rate was high, which indicated that the patients with recurrent anterior dislocation of shoulder joint with mild or no defect of shoulder glenoid bone and better quality of articular capsule and surrounding ligament. Arthroscopic Bankart repair has a good effect. In order to further reduce the recurrence rate, the risk factors of recurrence instability after Bankart repair should be fully evaluated before and after operation.
【作者单位】：新疆医科大学第一附属医院骨病运动损伤外科;
【分类号】：R687.4

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