CAJ | 학술논문

目的：观察关节镜下对V型从前到后上盂唇损伤(superior labral anterior to posterior，SLAP)的复发性肩关节前脱位修复的临床疗效。方法收集我单位2008年3月-2010年12月V型SLAP损伤患者16例，选取同期单纯Bankart损伤病例16例作为对照组。在关节镜下采用可吸收带线锚钉修复盂唇。采用视觉模拟评分(visual analogue scale，VAS)评价疼痛，美国肩肘外科协会(American Shoulder and Elbow Surgeons，ASES)评分系统和Rowe肩关节评分系统评价关节功能。结果两组患者术后VAS评分、ASES评分和Rowe评分均优于术前(P＜0.05)，没有脱位复发。两组患者术后结果的差异无统计学意义(P＞0.05)。结论对V型SLAP损伤的复发性肩关节前脱位，采用可吸收带线锚钉进行修复可获得良好的临床效果。
목적：관찰관절경하대V형종전도후상우진손상(superior labral anterior to posterior，SLAP)적복발성견관절전탈위수복적림상료효。방법수집아단위2008년3월-2010년12월V형SLAP손상환자16례，선취동기단순Bankart손상병례16례작위대조조。재관절경하채용가흡수대선묘정수복우진。채용시각모의평분(visual analogue scale，VAS)평개동통，미국견주외과협회(American Shoulder and Elbow Surgeons，ASES)평분계통화Rowe견관절평분계통평개관절공능。결과량조환자술후VAS평분、ASES평분화Rowe평분균우우술전(P＜0.05)，몰유탈위복발。량조환자술후결과적차이무통계학의의(P＞0.05)。결론대V형SLAP손상적복발성견관절전탈위，채용가흡수대선묘정진행수복가획득량호적림상효과。
Objective To observe the clinical effect of arthroscopic repair on V type superior labral anterior posterior lesions. Methods Sixteen patients with V type superior labral anterior posterior lesions admitted to our hospital from March 2008 to December 2010 served as an experimental group and 16 patients with Bankart lesions served as a control group in this study. Their labral lesions were repaired by arthroscopy with absorbable lines. Their pain was scored according to the visual analogue scale (VAS) and their shoulder joint function was assessed according to the American Shoulder and Elbow Surgeons (ASES) Scoring System and the Rowe Shoulder Scoring System, respectively. Results The VAS, ASES and Rowe scores were higher in the two groups after operation than before operation (P<0.05). No dislocation occurred in all patients after operation. No significant difference was found in the outcomes between the two groups after operation (P>0.05). Conclusion Arthroscopic repair with absorbable line can achieve satisfactory clinical outcomes in patients with should joint dislocation due to V type superior labral anterior posterior lesions.