CAJ | 학술논문

目的：比较Magnuson法与Bankart法手术治疗习惯性肩关节前脱位的临床效果。方法回顾性分析2011年1月至2012年10月广州军区广州总医院采用Magnuson法和Bankart法手术治疗的43例习惯性肩关节前脱位患者的临床资料，其中Magnuson组21例、Bankart组22例。观察两组切口长度、术中出血量和手术时间的差异，采用肩关节功能Neer评分评价术前，术后6、12个月的肩关节功能。结果两组切口长度、术中出血量和手术时间比较，差异无统计学意义（P＞0.05）。43例患者均获随访，随访时间11～18个月（平均15.3个月）。末次随访时两组患者均未再次出现肩关节脱位。与术前比较，两组术后6、12个月肩关节功能Neer评分均较术前有明显改善（P＜0.05）。Bankart组术后6个月肩关节功能Neer评分优于Magnuson组（P＜0.05），但术后12个月两组Neer评分比较，差异无统计学意义（P ＞0.05）。结论对于习惯性肩关节前脱位患者，Bankart法较Magnuson法术后肩关节功能恢复快，但两种术式对肩关节功能的远期改善程度似无明显差别。
목적：비교Magnuson법여Bankart법수술치료습관성견관절전탈위적림상효과。방법회고성분석2011년1월지2012년10월엄주군구엄주총의원채용Magnuson법화Bankart법수술치료적43례습관성견관절전탈위환자적림상자료，기중Magnuson조21례、Bankart조22례。관찰량조절구장도、술중출혈량화수술시간적차이，채용견관절공능Neer평분평개술전，술후6、12개월적견관절공능。결과량조절구장도、술중출혈량화수술시간비교，차이무통계학의의（P＞0.05）。43례환자균획수방，수방시간11～18개월（평균15.3개월）。말차수방시량조환자균미재차출현견관절탈위。여술전비교，량조술후6、12개월견관절공능Neer평분균교술전유명현개선（P＜0.05）。Bankart조술후6개월견관절공능Neer평분우우Magnuson조（P＜0.05），단술후12개월량조Neer평분비교，차이무통계학의의（P ＞0.05）。결론대우습관성견관절전탈위환자，Bankart법교Magnuson법술후견관절공능회복쾌，단량충술식대견관절공능적원기개선정도사무명현차별。
Objective To compare the surgical effects between Magnuson method and Bankart method for patients with recurrent anterior shoulder instability. Methods From January 2011 to October 2012, 43 patients were treated due to recurrent anterior shoulder instability, among them 21 accepted the surgery of Magnuson-way and the others for the Bankart-way. Differences of incision length, intraoperative estimate blood loss, and operation time between two groups were observed, Neer scores in two groups were recorded to evaluate the shoulder joint function at 6 and 12 months after the surgery. Results All patients were followed up for an average of 15.3 months (range, 11-18 months), and no shoulder dislocation occured at the last follow-up. There were no differences of incision length, intraoperative estimate blood loss and operation time between two groups. At 6, 12 month postoperatively, Neer scores were improved significantly compared with preoperative results in each group (P<0.05). At 6 months after the surgery, Neer score was higher in Bankart group (P<0.05), but no difference was found between two groups at 12 months after the surgery (P >0.05). Conclusion For recurrent anterior shoulder instability, patients treated by Bankart procedure can obtain shoulder joint function recovery more quickly compared with Magnuson procedure, while no evidence has been found that there is any difference of improvement of shoulder joint function between two methods with the follow-up goes by.