目的比较关节镜下H-Loop无结双排技术与缝线桥技术修复L型肩袖撕裂的临床疗效。方法回顾性分析2019年1至2021年12月于中山大学孙逸仙纪念医院接受关节镜下修复L型肩袖损伤的患者58例。采用关节镜下H-Loop无结双排技术16例,男8例、女8例...目的比较关节镜下H-Loop无结双排技术与缝线桥技术修复L型肩袖撕裂的临床疗效。方法回顾性分析2019年1至2021年12月于中山大学孙逸仙纪念医院接受关节镜下修复L型肩袖损伤的患者58例。采用关节镜下H-Loop无结双排技术16例,男8例、女8例,年龄(63.69±8.78)岁(范围50~74岁);采用关节镜下缝线桥技术42例,男24例、女18例,年龄(61.02±7.02)岁(范围50~73岁)。观察指标包括美国肩肘外科协会(American Shoulder and Elbow Surgeons,ASES)评分、美国加州大学洛杉矶分校(University of California Los Angeles)肩关节功能评分、Constant-Murley评分、简单肩关节功能检查(simple shoulder test,SST)评分、肩关节活动度及肌力。结果两组患者均获得随访,H-Loop组患者随访时间为(12.81±0.98)个月,缝线桥组为(13.29±0.94)个月。两组患者的年龄、性别、优势手、术前症状时间、撕裂形状、撕裂大小和肱二头肌长头腱切断等因素的差异无统计学意义(P>0.05)。H-Loop组患者手术时间为(67.50±16.02)min,较缝线桥组的(76.67±13.19)min更短,差异有统计学意义(t=2.234,P=0.031);锚钉数量(2.00±0)个,较缝线桥组的(4.14±0.35)个更少,差异有统计学意义(t=16.573,P<0.001)。H-Loop组和缝线桥组ASES评术前分别为(57.44±15.91)分和(58.21±16.58)分,术后1年提高至(92.00±4.41)分和(87.71±6.19)分,手术前后的差异有统计学意义(F=53.439,P<0.001;F=72.511,P<0.001);UCLA评分术前分别为(20.63±3.79)分和(20.83±5.78)分,术后1年提高至(31.56±3.65)分和(30.36±4.71)分,手术前后的差异有统计学意义(F=57.788,P<0.001;F=50.043,P<0.001);Constant-Murley评分术前分别为(68.50±15.31)分和(66.21±16.51)分,术后1年提高至(87.5±8.70)分和(86.33±9.14)分,手术前后的差异有统计学意义(F=6.733,P<0.001;F=30.173,P<0.001);SST评分术前分别为(6.38±3.76)分和(6.55±3.31)分,术后1年提高至(9.06±2.59)分和(9.17±2.45)分,手术前后的差异有统计学意义(F=2.展开更多
AIM: To assess the results of a modified technique for scleral fixation of a posterior chamber intraocular lens(IOL) in eyes which had deficient of posterior capsular support.METHODS: This retrospective study was comp...AIM: To assess the results of a modified technique for scleral fixation of a posterior chamber intraocular lens(IOL) in eyes which had deficient of posterior capsular support.METHODS: This retrospective study was comprised of ten patients with deficient posterior capsular support who underwent one-haptic fixation of posterior chamber IOLs, between February 2010 and October 2011. IOL as implanted with one haptic supported on the capsular remnant and the other haptic drawn into the sulcus by anchoring suture without a knot. All patients were evaluated for pre- and postoperative visual acuity, lens centration, intra-and postoperative complications.RESULTS: A knotless, one-haptic fixation of posterior chamber IOLs has successfully been performed on ten eyes. All cases had inadequate capsular support(i.e. a capsular tear ranged from 5 to 7 clock hours). The average age was 74.25 ±8.87y(SD). The average postoperative uncorrected visual acuity was 0.51 log MAR.Complications included hyphema in one eye, a mild inflammatory reaction in the anterior chamber in two eyes, and a transient rise in IOP in one eye. Neither IOL tilt nor dislocation was observed and there were no later complications.CONCLUSION: In the presence of insufficient capsular support, a knotless, one-haptic fixation of posterior chamber IOLs is a safe and viable option which reduces the operation time, and minimizes postoperative suture-related complications.展开更多
文摘目的比较关节镜下H-Loop无结双排技术与缝线桥技术修复L型肩袖撕裂的临床疗效。方法回顾性分析2019年1至2021年12月于中山大学孙逸仙纪念医院接受关节镜下修复L型肩袖损伤的患者58例。采用关节镜下H-Loop无结双排技术16例,男8例、女8例,年龄(63.69±8.78)岁(范围50~74岁);采用关节镜下缝线桥技术42例,男24例、女18例,年龄(61.02±7.02)岁(范围50~73岁)。观察指标包括美国肩肘外科协会(American Shoulder and Elbow Surgeons,ASES)评分、美国加州大学洛杉矶分校(University of California Los Angeles)肩关节功能评分、Constant-Murley评分、简单肩关节功能检查(simple shoulder test,SST)评分、肩关节活动度及肌力。结果两组患者均获得随访,H-Loop组患者随访时间为(12.81±0.98)个月,缝线桥组为(13.29±0.94)个月。两组患者的年龄、性别、优势手、术前症状时间、撕裂形状、撕裂大小和肱二头肌长头腱切断等因素的差异无统计学意义(P>0.05)。H-Loop组患者手术时间为(67.50±16.02)min,较缝线桥组的(76.67±13.19)min更短,差异有统计学意义(t=2.234,P=0.031);锚钉数量(2.00±0)个,较缝线桥组的(4.14±0.35)个更少,差异有统计学意义(t=16.573,P<0.001)。H-Loop组和缝线桥组ASES评术前分别为(57.44±15.91)分和(58.21±16.58)分,术后1年提高至(92.00±4.41)分和(87.71±6.19)分,手术前后的差异有统计学意义(F=53.439,P<0.001;F=72.511,P<0.001);UCLA评分术前分别为(20.63±3.79)分和(20.83±5.78)分,术后1年提高至(31.56±3.65)分和(30.36±4.71)分,手术前后的差异有统计学意义(F=57.788,P<0.001;F=50.043,P<0.001);Constant-Murley评分术前分别为(68.50±15.31)分和(66.21±16.51)分,术后1年提高至(87.5±8.70)分和(86.33±9.14)分,手术前后的差异有统计学意义(F=6.733,P<0.001;F=30.173,P<0.001);SST评分术前分别为(6.38±3.76)分和(6.55±3.31)分,术后1年提高至(9.06±2.59)分和(9.17±2.45)分,手术前后的差异有统计学意义(F=2.
文摘AIM: To assess the results of a modified technique for scleral fixation of a posterior chamber intraocular lens(IOL) in eyes which had deficient of posterior capsular support.METHODS: This retrospective study was comprised of ten patients with deficient posterior capsular support who underwent one-haptic fixation of posterior chamber IOLs, between February 2010 and October 2011. IOL as implanted with one haptic supported on the capsular remnant and the other haptic drawn into the sulcus by anchoring suture without a knot. All patients were evaluated for pre- and postoperative visual acuity, lens centration, intra-and postoperative complications.RESULTS: A knotless, one-haptic fixation of posterior chamber IOLs has successfully been performed on ten eyes. All cases had inadequate capsular support(i.e. a capsular tear ranged from 5 to 7 clock hours). The average age was 74.25 ±8.87y(SD). The average postoperative uncorrected visual acuity was 0.51 log MAR.Complications included hyphema in one eye, a mild inflammatory reaction in the anterior chamber in two eyes, and a transient rise in IOP in one eye. Neither IOL tilt nor dislocation was observed and there were no later complications.CONCLUSION: In the presence of insufficient capsular support, a knotless, one-haptic fixation of posterior chamber IOLs is a safe and viable option which reduces the operation time, and minimizes postoperative suture-related complications.
