| 关节镜下改良Mason-Allen与缝线桥缝合治疗中型肩袖撕裂的疗效对比 |
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投稿时间：2021-04-15
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| 作者 | Author | 单位 | Address | E-Mail |
| 卓鸿武 |
ZHUO Hong-wu |
福建中医药大学附属第二人民医院, 福建 福州 350003 |
The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350003, Fujian, China |
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| 潘玲 |
PAN Ling |
福建中医药大学附属第二人民医院, 福建 福州 350003 |
The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350003, Fujian, China |
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| 刘诗滦 |
LIU Shi-luan |
福建中医药大学附属第二人民医院, 福建 福州 350003 |
The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350003, Fujian, China |
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| 李坚 |
LI Jian |
福建中医药大学附属第二人民医院, 福建 福州 350003 |
The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350003, Fujian, China |
lijianla2008@foxmail.com |
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| 期刊信息：《中国骨伤》2021年，第34卷，第6期，第504-507页 |
| DOI：10.12200/j.issn.1003-0034.2021.06.004 |
| 基金项目: |
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中文摘要:
目的： 观察并比较关节镜下改良Mason-Allen与缝线桥缝合治疗中型肩袖撕裂的术后疗效。
方法： 自2017年1月至2018年1月，采用关节镜下改良Mason-Allen缝合治疗中型肩袖撕裂患者22例，年龄40~81（57.14±10.26）岁；男9例，女13例。2018年2月至2019年1月，采用缝线桥缝合治疗中型肩袖撕裂患者20例，年龄42~71（57.75±7.57）岁；男6例，女14例。两组患者的术前及术后临床功能评分采用美国肘关节外科协会（American Shoulder and Elbow Surgeons，ASES）评分及Constant评分系统。术后患者肩袖愈合评估采用MRI检查。
结果： 所有患者获得随访，时间24~33（26.38±2.29）个月。改良Mason-Allen组患者ASES评分和Constant评分由术前的（45.22±7.58）、（58.72±9.26）分提高至术后的（96.89±3.49）、（93.18±3.20）分。缝线桥组患者ASES评分和Constant评分由术前的（47.33±7.50）、（60.05±11.76）分提高至术后的（97.58±3.43）、（93.85±3.15）分。组间术前及术后ASES评分和Constant评分差异均无统计学意义。两组患者术后肩袖愈合情况差异也无统计学意义。
结论： 关节镜下改良Mason-Allen与缝线桥缝合治疗中型肩袖损伤均可获得较好的临床疗效，且两组缝合技术术后疗效无显著区别。 |
| 【关键词】肩关节 关节镜 肩袖撕裂 缝合技术 |
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| Comparison of clinical outcomes between arthroscopic modified Mason-Allen repair and suture-bridge repair for medium-size rotator cuff tears |
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ABSTRACT
Objective: To observe and compare the clinical outcomes between arthroscopic modified Mason-Allen repair and suture-bridge repair for medium-size rotator cuff tears.
Methods: From January 2017 to January 2018,22 patients with medium-size rotator cuff tears underwent arthroscopic modified Mason-Allen repair. There were 9 males and 13 females with an average age of (57.14±10.26) years. From February 2018 to January 2019,20 patients with medium-size rotator cuff tears underwent arthroscopic suture-bridge repair. There were 6 males and 14 females with an average age of (57.75±7.57) years. The preoperative and postoperative clinical function was assessed by American Shoulder and Elbow Surgeons (ASES) and Constant score system. The healing status of repaired rotator cuff was assessed using MRI.
Results: All patients were followed up,and the duration ranged from 24 to 33 months,with a mean of (26.38±2.29) months. In modified Mason-Allen group,ASES score and Constant score increased from (45.22±7.58) and (58.72±9.26) preoperatively to (96.89±3.49) and (93.18±3.20) postoperatively. In suture-bridge group,ASES score and Constant score increased from(47.33±7.50) and (60.05±11.76) scores to (97.58±3.43) and (93.85±3.15). There were no significant differences in ASES score and Constant score between the two groups before and after operation. There were no significant differences in rotator cuff healing between the two groups.
Conclusion: Both arthroscopic modified Mason-Allen and suture-bridge repair for treatment of medium-size rotator cuff tears could obtain good clinical outcomes,and there were no significant differences in clinical outcomes between the two techniques. |
| KEY WORDS Shoulder joint Arthroscopes Rotator cuff tears Suture techniques |
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| 中文格式: | 卓鸿武,潘玲,刘诗滦,李坚.关节镜下改良Mason-Allen与缝线桥缝合治疗中型肩袖撕裂的疗效对比[J].中国骨伤,2021,34(6):504~507 |
| 英文格式: | ZHUO Hong-wu,PAN Ling,LIU Shi-luan,LI Jian.Comparison of clinical outcomes between arthroscopic modified Mason-Allen repair and suture-bridge repair for medium-size rotator cuff tears[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(6):504~507 |
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