实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2015年
3期
29-30
,共2页
李思云%熊隆江%刘华江%黄晓蓬
李思雲%熊隆江%劉華江%黃曉蓬
리사운%웅륭강%류화강%황효봉
关节镜%肩袖损伤%缝合技术
關節鏡%肩袖損傷%縫閤技術
관절경%견수손상%봉합기술
arthroscope%rotator cuff injury%suture technique
目的:探讨肩关节镜下双排缝合方法治疗肩袖损伤的临床疗效。方法对48例肩袖损伤患者采用肩关节镜下双排缝合固定修复肩袖,同时行肩关节镜下肩峰成形及肩峰下滑囊切除,采用美国加州洛杉矶大学(UCLA)功能评分标准进行肩关节术前和术后功能评分。结果所有患者术后均得到随访,随访时间6~18个月,肩关节功能评分:术前平均为11.2分,术后平均为33.9分,其中优41例,良5例,差2例。结论肩关节镜下双排缝合固定是治疗肩袖损伤的有效方法,固定稳定,有效增加腱骨接触面,促进腱骨愈合。
目的:探討肩關節鏡下雙排縫閤方法治療肩袖損傷的臨床療效。方法對48例肩袖損傷患者採用肩關節鏡下雙排縫閤固定脩複肩袖,同時行肩關節鏡下肩峰成形及肩峰下滑囊切除,採用美國加州洛杉磯大學(UCLA)功能評分標準進行肩關節術前和術後功能評分。結果所有患者術後均得到隨訪,隨訪時間6~18箇月,肩關節功能評分:術前平均為11.2分,術後平均為33.9分,其中優41例,良5例,差2例。結論肩關節鏡下雙排縫閤固定是治療肩袖損傷的有效方法,固定穩定,有效增加腱骨接觸麵,促進腱骨愈閤。
목적:탐토견관절경하쌍배봉합방법치료견수손상적림상료효。방법대48례견수손상환자채용견관절경하쌍배봉합고정수복견수,동시행견관절경하견봉성형급견봉하활낭절제,채용미국가주락삼기대학(UCLA)공능평분표준진행견관절술전화술후공능평분。결과소유환자술후균득도수방,수방시간6~18개월,견관절공능평분:술전평균위11.2분,술후평균위33.9분,기중우41례,량5례,차2례。결론견관절경하쌍배봉합고정시치료견수손상적유효방법,고정은정,유효증가건골접촉면,촉진건골유합。
ABSTRACT:Objective To investigate the therapeutic effect of arthroscopic double-row suture anchor fixation on rotator cuff injury.Methods Forty-eight patients with rotator cuff injury un-derwent arthroscopic double-row suture anchor fixation,acromioplasty and subacromial bursal ex-cision.The UCLA shoulder score was used to assess the preoperative and postoperative function. Results All patients were followed up for 6-18 months.The preoperative and postoperative UCLA shoulder scores were 11.2 and 33.9,respectively.Among the 48 patients,shoulder joint function was excellent in 41,good in 5,and poor in 2.Conclusion Arthroscopic double-row suture anchor fixation is effective for rotator cuff injury.The technique can result in stable fixture,in-crease contact surface of tendon-bone,and promote tendon-bone healing.