肩峰成形对肩袖损伤缝线桥修复术后功能的影响

发布时间：2019-02-12 19:30

【摘要】：目的:评价关节镜下肩峰成形术在肩袖损伤修复中的临床疗效。方法:2012年5至2014年5月接受关节镜下肩袖损伤缝线桥固定的患者65例,男42例,女23例,随机分为两组,一组术中同时行关节镜下肩峰成形手术(实验组),另一组术中行关节镜下肩峰下清理,不做骨质的切除(对照组)。两组患者年龄、性别、侧别的差异均无统计学意义。记录两组手术时间,比较术后3个月、12个月时肩关节活动度、美国加州大学洛杉矶分校评分系统(ULCA)、美国肩肘外科医师评分系统(ASES)、视觉模拟评分(VAS)和Constant评分变化。结果:实验组与对照组在手术时间上两组差异有统计学意义(t=-18.5,P0.05);实验组与对照组术后3个月、12个月肩关节活动范围、肩关节功能评分方面两组差异无统计学意义(P0.05)。结论:关节镜下肩袖损伤缝线桥固定术中进行肩峰成形手术在术后肩关节活动度、肩关节评分的改善方面与对照组无显著差异,但手术时间更长。
[Abstract]:Objective: to evaluate the clinical effect of arthroscopic acromioplasty in the repair of rotator cuff injury. Methods: from May 2012 to May 2014, 65 patients (42 males and 23 females) with arthroscopic suture bridge fixation of rotator cuff injury were randomly divided into two groups: one group underwent arthroscopic acromioplasty simultaneously (experimental group). Another group underwent arthroscopic subacromial debridement without bone resection (control group). There was no significant difference in age, sex and side difference between the two groups. The operation time of the two groups was recorded, and the range of shoulder motion at 3 and 12 months postoperatively was compared. The UCLA scoring system (ULCA), the American shoulder and elbow surgeon scale system, (ASES), Visual analogue score: (VAS) and Constant. Results: there was significant difference in the operation time between the experimental group and the control group (t = -18.5). There was no significant difference between the experimental group and the control group in the range of shoulder motion and the shoulder function score 3 months and 12 months after operation (P0.05). Conclusion: there is no significant difference in the range of shoulder motion and the improvement of shoulder joint score between arthroscope and the control group, but the operative time is longer.
【作者单位】：承德医学院附属医院关节外科;
【基金】：2017年度河北省医学科学研究重点课题计划(20170233)
【分类号】：R687.4

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