中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2013年
7期
17-18
,共2页
全关节镜%小切口%功能评分
全關節鏡%小切口%功能評分
전관절경%소절구%공능평분
Whole shoulder arthroscopy%Small incision%Function value
目的：探讨全关节镜下肩袖修补术与关节镜下小切口肩袖修补术的临床疗效。方法：将62例肩袖撕裂性损伤的患者随机分为2组，A组患者采用全关节镜下肩袖修补术治疗，B组患者采用关节镜下小切口肩袖修补术进行治疗，比较2组的效果。结果：2组患者术后的ASES、VAS评分较之术前明显改善，差异有统计学意义（p＜0．05），A组患者VAS评分改善较之B组，差异有统计学意义；但是2组患者在肩关节功能评分、患者满意度以及术后并发症等方面比较，差异无统计学意义（ p＞0．05）。结论：与关节镜辅助下小切口手术比较，虽然在术后肩关节功能评分、并发症以及患者满意度等方面无显著差异，但是全关节镜手术治疗肩袖损伤术后疼痛更轻，值得在临床中推广。
目的：探討全關節鏡下肩袖脩補術與關節鏡下小切口肩袖脩補術的臨床療效。方法：將62例肩袖撕裂性損傷的患者隨機分為2組，A組患者採用全關節鏡下肩袖脩補術治療，B組患者採用關節鏡下小切口肩袖脩補術進行治療，比較2組的效果。結果：2組患者術後的ASES、VAS評分較之術前明顯改善，差異有統計學意義（p＜0．05），A組患者VAS評分改善較之B組，差異有統計學意義；但是2組患者在肩關節功能評分、患者滿意度以及術後併髮癥等方麵比較，差異無統計學意義（ p＞0．05）。結論：與關節鏡輔助下小切口手術比較，雖然在術後肩關節功能評分、併髮癥以及患者滿意度等方麵無顯著差異，但是全關節鏡手術治療肩袖損傷術後疼痛更輕，值得在臨床中推廣。
목적：탐토전관절경하견수수보술여관절경하소절구견수수보술적림상료효。방법：장62례견수시렬성손상적환자수궤분위2조，A조환자채용전관절경하견수수보술치료，B조환자채용관절경하소절구견수수보술진행치료，비교2조적효과。결과：2조환자술후적ASES、VAS평분교지술전명현개선，차이유통계학의의（p＜0．05），A조환자VAS평분개선교지B조，차이유통계학의의；단시2조환자재견관절공능평분、환자만의도이급술후병발증등방면비교，차이무통계학의의（ p＞0．05）。결론：여관절경보조하소절구수술비교，수연재술후견관절공능평분、병발증이급환자만의도등방면무현저차이，단시전관절경수술치료견수손상술후동통경경，치득재림상중추엄。
Objective:To observe and compare the clinical effects of whole shoulder arthroscopy and incision under arthroscopy in the treatment of rotator cuff injury .Methods:62 patients with rotator cuff injury were selected and divided into two groups .In group A, 31 patients were treated by whole shoulder arthroscopy .In group B, 31 patients were treated by incision under arthroscopy .The effects of the two methods were compared.Results:The values of ASES and VAS were all improved post operation (p<0.05).The VAS value im-provement of group A was significant than group B .The ASES value , satisfaction of patients and postoperative complications of the two groups were not significant ( p>0.05) .Conclusion:Comparing with incision under arthroscopy the post operation pain is lighter in whole shoulder arthroscopy group .It is worth for generalization .
