摘要
[目的]关节镜下治疗肩袖撕裂在国内已得到广泛应用,其短期疗效报道较多,而长期研究还不多见,本研究目的是观察肩关节镜下辅助小切口治疗肩袖撕裂的长期临床效果。[方法]回顾性研究本科2007年2月~2010年3月收治的使用肩关节镜下辅助小切口技术修补肩袖撕裂患者32例,平均年龄53.4岁,比较术前、术后1年及末次随访时患者疼痛视觉模拟评分(VAS)、美国洛杉矶加利福尼亚大学评分(UCLA)及Constant-Murley评分,评价术后肩关节活动范围及肌力恢复情况。[结果]所有患者均得到随访,随访时间36~61个月,平均48个月。患者术后VAS、UCLA、Constant-Murley评分均较术前明显改善,术后1年与末次随访时差异有统计学意义(P<0.05)。术后肩关节活动范围和肩袖肌力较术前增加,差异有统计学意义(P<0.05)。[结论]肩关节镜下辅助小切口治疗肩袖撕裂手术效果确切,长期随访显示肩关节功能恢复良好,患者满意率高。
[Objective] To observe the long-term outcome of arthroscopically assisted mini-open technique for rotator cuff tear. [Methods] A retrospective analysis was performed on the clinical data of 32 patients with rotator cuff tear who underwent arthroscopically assisted mini-open rotator cuff repair in our hospital from February 2007 to March 2010. Their mean age was 53.4 years. The Visual Analogue Scale （VAS） score, University of California at Los Angeles （UCLA） score, and Constant-Murley score were measured and compared before surgery, at 1 year after surgery, and at the last follow-up. The shoul- der joint range of motion and the muscle strength were evaluated after surgery. [Results] All patients were followed up for 48 months （36-61 months） . After surgery, the patients showed significant improvements in VAS score, UCLA score, and Con- stant-Murley score （P 〈0.05 ） . And there were significant differences in the .above parameters between 1 year after surgery and the last follow-up （P 〈0.05） . After surgery, the patients showed significant improvements in shoulder joint range of mo- tion and muscle strength （P 〈0.05） . [Conclusions ] For rotator cuff tear, arthroscopically assisted mini-open technique has good efficacy. The long-term follow-up shows that the shoulder joint function is well restored and the patients＇ satisfaction rate is high.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2017年第6期508-512,共5页
Orthopedic Journal of China
关键词
肩袖撕裂
关节镜
小切口
rotator cuff tear, arthroscope, small recision
