摘要
目的 探讨肩关节镜下缝线桥技术治疗巨大肩袖损伤的临床效果。方法 选取我科2018年1月至2020年9月收治的肩袖巨大撕裂病人120例,随机纳入单排缝合组、双排缝合组和缝线桥组,每组40例。比较三组病人治疗前后肩关节疼痛视觉模拟量表(visual analogue scale,VAS)评分、肩关节Constant-Murley功能评分、加州大学洛杉矶分校(University of California at Los Angeles,UCLA)肩关节评分和美国肩肘外科协会(American Shoulder and Elbow Surgeons,ASES)评分及术后并发症发生情况。结果三组病人术后3个月时VAS评分未见明显统计学差异,但是缝线桥组术后6个月及9个月时VAS评分较单排缝合及双排缝合组明显降低,差异具有统计学意义(P<0.05);术后3、6、12、24个月,缝线桥组的Constant-Murley功能评分、UCLA评分和ASES评分均较单排缝合组及双排缝合组明显增高,差异具有统计学意义(P<0.05);缝线桥组病人再撕裂发生率较单排缝合组及双排缝合组明显降低,差异具有统计学意义(P<0.05)。结论 肩关节镜下利用缝线桥技术修复巨大肩袖全层撕裂,能够取得良好的疗效,更有利于腱骨愈合,是一种合理有效的治疗手段。
Objective To explore the clinical effect of suture bridge technique after arthroscopic debridement in the treatment of giant rotator cuff injury.Methods A total of 120 patients with giant rotator cuff tears admitted to our department from January 2018 to September 2020 were selected.Patients were divided into single-row suture group,double-row suture group and suture bridge group randomly.The visual analogue scale (VAS),Constant Murley score,University of California at Los Angeles (UCLA) shoulder score and American Shoulder and Elbow Surgeons (ASES) score and their complications before and after treatment were compared.Results There was no significant difference in VAS score among the three groups at 3 months after operation,but the VAS score at 6 and 9 months after operation in the suture bridge group was significantly lower than that in the single row suture group and double row suture group (P<0.05).At 3,6,12 and 24 months after operation,the Constant Murley function score,UCLA score and ASES score in suture bridge group were significantly higher than those in single row suture group and double row suture group (P<0.05).The incidence of re-tears in suture bridge group was significantly lower than that in single row suture group and double row suture group (P<0.05).Conclusion Arthroscopic repair of giant full-thickness rotator cuff tears with suture bridge technology can achieve good curative effect and is more conducive to tendon bone healing.It is a reasonable and effective treatment.
作者
尚文强
刘晓旭
王琳
SHANG Wen-qiang;LIU Xiao-xu;WANG Lin(Department of Orthopaedics,Fengfeng General Hospital of North China Medical and Health Group,Handan 056200,China)
出处
《骨科》
CAS
2022年第2期140-145,共6页
ORTHOPAEDICS
基金
邯郸市科学技术研究与发展计划项目(19422083046ZC)。
关键词
巨大肩袖损伤
肩关节镜
单排缝合技术
双排缝合技术
缝线桥技术
Huge rotator cuff
Shoulder arthroscopy
Single-row suture anchor technique
Double-row suture anchor technique
Suture bridge suture anchor technique
