| 老年肩袖撕裂关节镜下修复方式再探讨 |
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投稿时间：2021-06-18
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| 作者 | Author | 单位 | Address | E-Mail |
| 史文骥 |
SHI Wen-ji |
宁波市第一医院 浙江大学宁波医院骨科, 浙江 宁波 315010 |
Department of Orthopaedics, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo 315010, Zhejiang, China |
shi97529@sina.com |
| 毛宾尧 |
MAO Bin-yao |
宁波市第一医院 浙江大学宁波医院骨科, 浙江 宁波 315010 |
Department of Orthopaedics, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo 315010, Zhejiang, China |
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| 汪枫祺 |
WANG Feng-qi |
宁波大学医学院, 浙江 宁波 315211 |
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| 宓云峰 |
MI Yun-feng |
宁波市第一医院 浙江大学宁波医院骨科, 浙江 宁波 315010 |
Department of Orthopaedics, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo 315010, Zhejiang, China |
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| 朱迎春 |
ZHU Ying-chun |
宁波市第一医院 浙江大学宁波医院骨科, 浙江 宁波 315010 |
Department of Orthopaedics, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo 315010, Zhejiang, China |
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| 期刊信息：《中国骨伤》2021年，第34卷，第11期，第1040-1043页 |
| DOI：10.12200/j.issn.1003-0034.2021.11.011 |
| 基金项目: |
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中文摘要:
目的：探讨关节镜下锚钉改良植入，单排缝合修复老年肩袖撕裂方法及疗效。
方法：回顾性分析2016年3月至2020年2月96例符合纳入标准的老年肩袖撕裂患者，其中男29例，女67例，年龄65~85（68.8±3.9）岁。采用关节镜下锚钉改良植入，单排缝合修复撕裂肩袖。手术前后采用美国加州大学洛杉矾分校（University of California Los Angeles，UCLA）评分，美国肩肘外科协会（American Shoulder and Elbow Surgeons，ASES）评分评估肩关节功能，采用视觉模拟评分（visual analogue scale，VAS）评估疼痛情况。其中32例术后1年患肩接受MRI检查。
结果：所有病例完成关节镜下手术，随访时间11~42（21.4±7.5）个月，UCLA评分由术前的12.22±3.30提高至末次随访时的31.30±2.49（t=45.21，P<0.01）；ASES评分由术前的8.60±1.88提高至末次随访时的12.60±0.84（t=19.05，P<0.01）；VAS中位数由术前的5.00（2.00~8.00）分改善至末次随访的1.00（0.00~3.00）分（Z=-12.22，P<0.05）。术后1年32例接受MRI检查的患者中，1例显示修复肩袖再撕裂，但不影响正常生活，未再手术。未发现植入锚钉拔出病例。
结论：关节镜下锚钉改良植入，单排缝合修复老年肩袖撕裂可取得较满意的疗效，能有效降低锚钉拔出并发症。 |
| 【关键词】肩关节 关节镜 老年人 |
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| Re-discussion on arthroscopic repair of rotator cuff tear in aged patients |
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ABSTRACT
Objective: To investigate the method and clinical effects of modified anchor insertion with single-row suture arthroscopic rotator cuff repair for aged patients with rotator cuff tear.
Methods: From March 2016 to February 2020, 96 aged patients with rotator cuff tears were retrospectively analyzed, including 29 males and 67 females, aged from 65 to 85 years, with a mean of (68.8±3.9) years. Patients were treated with modified anchor insertion with single-row suture arthroscopic rotator cuff repair technique. Before and after operation, University of California Los Angeles(UCLA) score, American Shoulder and Elbow Surgeons (ASES) score were used to evaluate shoulder joint function, visual analogue scale (VAS)was used to evaluate patients' pain. Among them, 32 patients underwent magnetic resonance examination one year postoperatively.
Results: All operations were completed and the patients were followed up from 11 to 42 months, with a mean of (21.4±7.5) months. The UCLA score increased from preoperative 12.22±3.30 to final follow-up 31.30±2.49(t=45.21, P<0.01);ASES score increased from preoperative 8.60±1.88 to final follow-up 12.60±0.84(t=19.05, P<0.01);and the VAS decreased from preoperative 5.00(2.00 to 8.00)scores to final follow-up 1.00(0.00 to 3.00)scores(Z=-12.22, P<0.05). One year after operation, one of the 32 patients who underwent MRI showed that the repaired rotator cuff was torn again, but it did not affect the normal life and did not operate again. During the final follow-up, no anchor extraction was found in all 96 aged patients.
Conclusion: Modified anchor insertion with single-row suture arthroscopic rotator cuff repair technique for rotator cuff tear in aged patients could achieve satisfactory results and effectively reduce the anchor extraction rate. |
| KEY WORDS Shoulder joint Arthroscope Aged |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 史文骥,毛宾尧,汪枫祺,宓云峰,朱迎春.老年肩袖撕裂关节镜下修复方式再探讨[J].中国骨伤,2021,34(11):1040~1043 |
| 英文格式: | SHI Wen-ji,MAO Bin-yao,WANG Feng-qi,MI Yun-feng,ZHU Ying-chun.Re-discussion on arthroscopic repair of rotator cuff tear in aged patients[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(11):1040~1043 |
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