摘要
目的 比较关节镜下单排固定和双排缝合桥固定治疗肩袖全层撕裂的临床疗效.方法 回顾性研究2010年5月—2012年5月关节镜下用单排固定和双排缝合桥固定40例,其中采用单排固定组18例,双排缝合桥固定组22例.比较两组并发症、术后恢复日常生活的时间、达到满意评分的时间、再撕裂率、手术前后视觉模拟评分（visual analogue score,VAS）,美国加州大学肩关节评分系统（University of California at Los Angeles Shoulder Scores,UCLA）和美国肩肘外科医师学会（American Shoulder and Elbow Surgeons,ASES）评分. 结果 所有患者术后均获随访13～24个月,平均15.6个月.两组患者术后VAS、UCLA、ASES评分均较术前有明显改善,组间比较差异无统计学意义（P＞0.05）,术后恢复日常生活的时间、达到满意评分的时间、大型肩袖再撕裂率单排固定组分别为（69.2±16.6）d、（196.4±24.6）d、4/5,双排缝合组织固定桥组分别为（54.1±13.3）d、（165.0±20.6）d、1/8,组间比较差异有统计学意义（P＜0.05）. 结论 单排固定和双排缝合桥固定治疗肩袖全层撕裂均有很好的临床效果,但双排缝合桥固定患者术后能较快恢复日常生活并较早达到满意的评分,且大型肩袖再撕裂率低.
Objective To compare the clinical effect of arthroscopic single-row and suture-bridge double-row fixation of full-thickness rotator cuff tear.Methods A retrospective study was conducted on 40 patients with full-thickness rotator cuff tear treated by single-row and suture-bridge double-row fixation between May 2010 and May 2012.Single-row rotator cuff repair was performed in 18 patients and doublerow repair in 22 patients.The two techniques were compared in aspects of complications,recovery time to daily life,time to achieve satisfaction score,re-tear rate,pre-and post-operative VAS,University of California at Los Angeles Shoulder Scores （UCLA）,and American Shoulder and Elbow Surgeons （ASES）.Results Mean period of follow-up was 15.6 months （range,13-24 months）.Both treatment were effective in improving VAS,UCLA,and ASES,but the differences were insignificant （P ＞ 0.05）.Recovery time to daily life,time to achieve satisfaction score,and large rotator cuff re-tear rate were 69.2 ± 16.6）d,（196.4 ±24.6）d,and 4/5 respectively in single-row fixation,with significant differences from （54.1 ± 13.3）d,（165.0 ±20.6）d,and 1/8 in suture-bridge double-row fixation （P ＜0.05）.Conclusion Both treatments are effective for rotator cuff reconstruction,but suture-bridge double-row fixation provides earlier recovery to daily life,shorter time to achieve satisfaction score,and lower incidence of large rotator cuff retear.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2014年第9期924-927,共4页
Chinese Journal of Trauma
关键词
肩关节
关节镜
撕裂伤
组织固定
Shoulder joint
Arthroscopes
Lacerations
Tissue fixaiton
