摘要
目的：比较肩关节上盂唇前后部损伤（superior labrum from anterior to posterior,SLAP）修复和腱固定两种手术方法治疗Ⅱ型SLAP的治疗效果。方法：回顾性分析2009年3月至2012年3月,采用SLAP修复和腱固定手术治疗的38例Ⅱ型SLAP损伤患者。所有患者为单侧SLAP损伤。16例接受腱固定治疗,其中男9例,女7例;年龄45~54岁,平均（49.3±3.7）岁;右侧10例,左侧6例;摔伤10例,投掷损伤2例,日常生活损伤4例;受伤至手术时间为3~8周。22例接受SLAP修复治疗,其中男14例,女8例;年龄44~56岁,平均（49.0±2.8）岁;右侧13例,左侧9例;摔伤14例,投掷损伤5例,日常生活损伤3例;受伤至手术时间3~7周。比较两组患者术前,术后6个月、1年及2年UCLA评分和SST评分。结果：两组患者术前SST和UCLA评分差异无统计学意义。治疗6个月后,腱固定组SST和UCLA评分高于SLAP修复组,且在UCLA的功能、前屈范围、前屈力量、满意度4个功能评分上均优于SLAP修复组。术后1年和2年后的随访结果中腱固定组SST、UCLA评分及UCLA分项之间比较差异均无统计学意义。结论：SLAP损伤的腱固定治疗在短期内治疗效果优于SLAP修复组,长期治疗效果两者相当。
Objective：To compare clinical outcomes of superior labrum from anterior to posterior（SLAP） repair and biceps tenodesis in treating typeⅡ SLAP injury. Methods：From March 2009 to March 2012,38 patients with typeⅡ SLAP injury were treated with SLAP repair and biceps tenodesis,and all patients were unilateral SLAP injury. Sixteen patients treated with biceps tenodesis included 8 males and 7 females with an average age of（49.3±3.7） years old（ranged,45 to 54）;10 cases were on the left side and 6 cases on the right side;10 cases were caused by falling down,2 cases were caused by throwing damage and 4 cases were caused by daily life damage; the time from injury to operation were from 3 to 8 weeks. Twenty two patients treated with SLAP repair included 14 males and 8 females with an average age of（49.0±2.8） years old（ranged,44 to 56）;13cases were on the left side and 9 cases were on the right side;14 cases were caused by falling down,5 cases were caused by throwing damage and 3 cases were caused by daily life damage; the time from injury to operation were from 3 to 7 weeks. Preoperative,postoperative at 6 months,1 year and 2 years＇ UCLA and SST score were compared between two groups. Results：There was no significant differences in UCLA and SST score between two groups before operation. At 6 months after operation,UCLA and SST score in biceps tenodesis group was higher than SLAP group,and action,range of anteflexion,strength of anteflexion,degree of satisfaction in biceps tenodesis group was higher than SLAP group. There was no significant meaning in SST and UCLA score between two groups at 1 and 2 years after operation. Conclusion：Short term efficacy of biceps tenodesis for SLAP injury is better than SLAP repair,but long term efficacy is fairly.
出处
《中国骨伤》
CAS
2015年第6期531-535,共5页
China Journal of Orthopaedics and Traumatology
基金
浙江省医药卫生科技计划项目(编号:2012KYB010)
浙江省自然科学基金项目(编号:Y2100731)
浙江省教育厅科研项目(编号:201226171)~~
关键词
肩关节
创伤和损伤
外科手术
病例对照研究
Shoulder joint
Wounds and injuries
Surgical procedures
operative
Case control studies
