| 陈勇,庄全魁,白亮,等.肩关节镜下双排缝合桥技术治疗老年肩袖损伤 46例[J].安徽医药,2024,28(2):330-334. |
| 肩关节镜下双排缝合桥技术治疗老年肩袖损伤 46例 |
| Arthroscopic double row suture bridge technique in the treatment of rotator cuff injury in the elderly:46 cases |
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| DOI：10.3969/j.issn.1009-6469.2024.02.026 |
| 中文关键词: 肩袖损伤 肩关节镜 双排缝合桥技术 老年人 |
| 英文关键词: Shoulder rotator cuff injury Shoulder arthroscopy Double row suture bridge technology Aged |
| 基金项目:白求恩医学科学研究基金资助项目( N026EN) |
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| 中文摘要: |
| 目的探讨肩关节镜下双排缝合桥修复手术对老年肩袖损伤病人疼痛、手臂与肩部功能障碍( DASH)评分及再撕裂发生率的影响。方法回顾性分析 2018年 8月至 2020年 2月阜阳市第二人民医院收治的 89例老年肩袖损伤病人的临床资料，依照手术方法的不同划分成对照组(肩关节镜下单排铆钉固定)、治疗组(肩关节镜下双排缝合桥修复手术)分别为 43例、 46例。于术前、术后 1年采用视觉模拟评分法( VAS)评定患肩疼痛度，采用手臂与肩部功能障碍( DASH)评分量表，评定肩关节功能，测量患肩关节前屈、外展活动度，并统计两组 1年内再撕裂发生率。通过 logistic回归分析确定病人术后再撕裂发生的影响因素。结果术后 1年两组不同撕裂程度病人 VAS、DASH评分及患肩关节前屈、外展活动度与同组术前相比均明显改善(均 P<0.05)术后两组轻度撕裂病人上述指标改善情况比较差异无统计学意义(均 P>0.05)而治疗组中、重度撕裂病人上述指标改善情况，均明显较对照组优(均 P<0.05)；治疗组再撕裂发生率 4.35%明显较对照组的 23.，26%低( P<0.05)；年龄、手术方式是病人术后再撕裂发生的影响因素(均 P<0.05)。结论对老年肩袖损伤病人实施肩关节镜下双排缝合桥修复手术，可有效改善患肩疼痛及功能，显著降低再撕裂发生率。 |
| 英文摘要: |
| Objective To investigate the effects of shoulder arthroscopic double-row suture bridge repair surgery on pain, disability of arm shoulder and hand (DASH) score and incidence of re-tear in elderly patients with rotator cuff injury.Methods The clinical data of 89 elderly patients with rotator cuff injury admitted to Fuyang Second People's Hospital from August 2018 to February 2020 were ret.rospectively analyzed, and they were divided into control group (single-row anchor fixation under shoulder arthroscopy) and the treat. ment group (shoulder arthroscopic double-row suture bridge repair surgery) respectively according to different surgical methods, with43 cases and 46 cases respectively. The degree of shoulder pain was assessed by visual analogue scale (VAS) before and 1 year after op.eration, and the shoulder joint function was assessed by the arm and shoulder dysfunction scale (DASH), and the flexion and abductionranges of the affected shoulder joint were measured, and the incidence of re-tear within 1 year in the two groups was also counted. Lo.gistic regression analysis was used to determine the influencing factors of postoperative laceration. Results The VAS and DASH scores, the flexion and abduction ranges of the affected shoulder joint of patients with different tear degrees in the two groups at 1 yearafter the operation were significantly improved compared with the same group before the operation (P<0.05), and there was no statisti. cally significant difference in the improvement of the above indicators in patients with mild-degree tears between the two groups (all P> 0.05), while the improvement of the above-mentioned indicators in patients with moderate and severe tears in the treatment group wassignificantly better than that in the control group (all P<0.05); the incidence of re-tearing in the treatment group was 4.35%, which was significantly lower than 23.26% in the control group (P<0.05);age and operation method were the influencing factors of postoperative re tear (all P<0.05).Conclusion Performing arthroscopic double-row suture bridge repair surgery for elderly patients with rotator cuff in.jury can effectively improve shoulder pain and function, and significantly reduce the incidence of re-tear. |
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