摘要
目的 探究肩关节镜下双滑轮结合缝线桥技术治疗对肩袖撕裂患者肩功能恢复及关节活动度的影响,为临床提供理论参考。方法 选取收治的90例肩袖撕裂患者作为研究对象,经随机数字表法分为对照组和观察组各45例。对照组采用传统关节镜下缝线桥固定术治疗,观察组采用关节镜下双滑轮结合缝线桥技术。比较2组的康斯坦汀(Constant)、加州大学洛杉矶分校(UCLA)各项肩关节功能相关评分,手术时间,肩关节前屈和外旋活动度,关节僵硬和肩袖再撕裂发生率。结果 观察组手术时间少于对照组(P<0.05)。术前2组Constant、UCLA评分差异无统计学意义(P>0.05);术后1年2组Constant、UCLA评分均高于术前(P<0.05)。术前2组肩关节前屈和外旋活动度差异无统计学意义(P>0.05);术后1年2组肩关节前屈和外旋活动度均大于术前(P<0.05)。观察组关节僵硬率和肩袖再撕裂率均低于对照组,差异有统计学意义(P<0.05)。结论 肩关节镜下双滑轮结合缝线桥技术治疗肩袖撕裂,手术方式更简单,能够促进肩关节功能的恢复,增加关节活动度,降低关节僵硬和肩袖再撕裂发生风险。
Objective To explore the effects of double pulley combined with suture bridge treatment under shoulder arthroscopy on shoulder function recovery and joint range of motion in patients with shoulder-sleeve tearing,and to provide theoretical reference for clinical practice.Methods 90 patients with shoulder-sleeve tearing in our hospital were selected as research objects,the cases were divided into control group and observation group(n=45).The control group was treated with traditional arthroscopic suture bridge fixation,and the observation group was treated with arthroscopic double pulley combined with suture bridge technique.Constant and UCLA shoulder joint function-related scores,shoulder,exterior flexion and exhibition activity,as well as the incidence of joint stiffness and shoulder sleeve rear tear were recorded and compared.Results The operation time was no significant difference(P<0.05).Before surgery,the difference between the two groups of Constant and UCLA scores were not statistically significant(P>0.05);One year after surgery,two groups of Constant,UCLA scores were higher than preoperative(P<0.05).Before surgery,the difference between the two groups of shoulder joints and exhibition activities were not statistically significant(P>0.05);One year after surgery,the two sets of shoulder joints and exhibition activities were greater than preoperative(P<0.05).The joint rigidity and shoulder sleeve re-tearing rate were lower in observation group than that in control group,and the difference was significantly difference(P<0.05).Conclusion Arthroscopic double pulley combined with suture bridge technique for the treatment of rotator cuff tear is a simple surgical method,which can promote the recovery of shoulder joint function,increase joint mobility,and reduce the risk of joint stiffness and rotator cuff re-tear.
作者
马进宁
王涛
梁攀
李晓林
禹胜利
MA Jinning;WANG Tao;LIANG Pan;LI Xiaolin;YU Shengli(Department of Characteristic Specialty,Ningxia Armed Police Corps Hospital,Yinchuan 750004,China)
出处
《宁夏医学杂志》
CAS
2022年第5期415-418,共4页
Ningxia Medical Journal
关键词
肩袖撕裂
肩关节镜下双滑轮
缝线桥技术
肩功能恢复
关节活动度
Shoulder sleeve tear
Shoulder joint mirror double slide
Suture bridge technology
Shoulder function recovery
Joint activity
