摘要
目的:探讨老年肩袖损伤患者采用全关节镜下肩袖修补术和小切口肩袖修补术的疗效。方法:随机数字表法将158例老年肩袖损伤患者分为常规组(79例)与观察组(79例),常规组进行关节镜辅助下小切口肩袖修补术治疗,观察组进行全关节镜下肩袖修补术治疗,术后随访12个月。比较2组术前、术后1、6、12个月加州大学肩关节评分(UCLA)、视觉模拟疼痛量表(VAS),术前、术后12个月美国肩与肘协会(ASES)评分,外展、内旋、外旋肌力分级与关节活动度,以及术后12个月肩袖再撕裂、关节僵硬总发生率。结果:2组术后1、6、12个月UCLA评分均高于术前,且观察组高于常规组(P<0.05);术后12个月ASES评分高于术前,且观察组高于常规组(P<0.05);2组术后1、6、12个月VAS评分均低于术前,且观察组低于常规组(P<0.05);2组ASES评分比较,功能、疼痛、稳定及总分术后12个月均高于术前,且观察组高于常规组(P<0.05);2组术后12个月肌力分级均高于术前,且观察组高于常规组(P<0.05);关节活动度大于术前,且观察组大于常规组(P<0.05);2组术后12个月肩袖再撕裂、关节僵硬总发生率比较差异无统计学意义(P>0.05)。结论:与关节镜辅助下小切口肩袖修补术比,老年肩袖损伤患者采用全关节镜下肩袖修补术可改善患者肩肘关节功能,术后疼痛恢复快,还可恢复肩关节活动度,安全性良好。
Objective:To explore the comparative effect of total arthroscopic rotator cuff repair and small incision rotator cuff repair in elderly patients with rotator cuff injury.Methods:According to random number method,158 elderly patients with rotator cuff injury were divided into conventional group(79 cases)and experimental group(79 cases),the conventional group underwent total arthroscopic rotator cuff repair with small incision,the experimental group underwent total arthroscopic rotator cuff repair,and the follow-up was 12 months.university of california los angeles mark(UCLA),visual analogue scale(VAS),american shoulder and elbow surgeons(ASES)scores before and 12 months after surgery,abductive,internal,and external rotation muscle strength grade and range of motion,and the overall incidence of rotator cuff retear and joint stiffness 12 months after surgery was compared.Results:1,6,12 months after surgery UCLA score,12 months after surgery ASES score function,stability,total score,abduction,internal rotation,external rotation fractionation compared with the conventional group,the experimental group increased 12 months after surgery,the VAS score,was lower at 1,6,12 months after operation,abduction,internal rotation,external rotation activity compared with conventional group,experimental group increased 12 months after operation(P<0.05).There was no difference in the total incidence of rotator cuff retear and joint stiffness 12 months after surgery between the two groups(P>0.05).Conclusion:Compared with total arthroscopic rotator cuff repair with small incision,total arthroscopic rotator cuff repair in elderly patients with rotator cuff injury can improve the function of the shoulder and elbow,and the postoperative pain recovery is faster,and the shoulder joint motion can be restored,with good safety.
作者
张亚
王朝飞
ZHANG Ya;WANG Chaofei(Department of orthopaedics,Xinyang People’s Hospital)
出处
《长治医学院学报》
2024年第1期30-33,共4页
Journal of Changzhi Medical College
关键词
肩袖损伤
全关节镜
肩袖修补术
小切口肩袖修补术
rotator cuff injury
total arthroscopic
rotator cuff repair
small incision rotator cuff repair
