| 两种方法治疗Ⅱ型肩关节上盂唇前后部损伤的病例对照研究 |
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Received:July 13, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 赵晨 |
ZHAO Chen |
浙江省人民医院, 浙江 杭州 310000 |
People's Hospital of Zhejiang, Hangzhou 310000, Zhejiang, China |
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| 胡劲涛 |
HU Jin-tao |
绍兴市柯桥区中医医院, 浙江 绍兴 312030 |
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| 孔明祥 |
KONG Ming-xiang |
浙江省人民医院, 浙江 杭州 310000 |
People's Hospital of Zhejiang, Hangzhou 310000, Zhejiang, China |
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| 邱斌松 |
QIU Bin-song |
浙江省人民医院, 浙江 杭州 310000 |
People's Hospital of Zhejiang, Hangzhou 310000, Zhejiang, China |
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| 顾海峰 |
GU Hai-feng |
浙江省人民医院, 浙江 杭州 310000 |
People's Hospital of Zhejiang, Hangzhou 310000, Zhejiang, China |
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| 章水均 |
ZHANG Shui-jun |
浙江省人民医院, 浙江 杭州 310000 |
People's Hospital of Zhejiang, Hangzhou 310000, Zhejiang, China |
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| 徐跻峰 |
XU Ji-feng |
浙江省人民医院, 浙江 杭州 310000 |
People's Hospital of Zhejiang, Hangzhou 310000, Zhejiang, China |
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| 夏冰 |
XIA Bing |
浙江省人民医院, 浙江 杭州 310000 |
People's Hospital of Zhejiang, Hangzhou 310000, Zhejiang, China |
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| 毕擎 |
BI Qing |
浙江省人民医院, 浙江 杭州 310000 |
People's Hospital of Zhejiang, Hangzhou 310000, Zhejiang, China |
13588302991@126.com |
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| 期刊信息：《中国骨伤》2015年28卷，第6期，第531-535页 |
| DOI：10.3969/j.issn.1003-0034.2015.06.012 |
| 基金项目:浙江省医药卫生科技计划项目(编号:2012KYB010);浙江省自然科学基金项目(编号:Y2100731);浙江省教育厅科研项目(编号:201226171) |
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目的:比较肩关节上盂唇前后部损伤(superior labrum from anterior to posterior,SLAP)修复和腱固定两种手术方法治疗Ⅱ型SLAP的治疗效果。
方法:回顾性分析2009年3月至2012年3月, 采用SLAP修复和腱固定手术治疗的38例Ⅱ型SLAP损伤患者。所有患者为单侧SLAP损伤。 16例接受腱固定治疗, 其中男9例, 女7例;年龄45～54岁, 平均(49.3±3.7)岁;右侧10例, 左侧6例;摔伤10例, 投掷损伤2例, 日常生活损伤4例;受伤至手术时间为3～8周。22例接受SLAP修复治疗, 其中男14例, 女8例;年龄44～56岁, 平均(49.0±2.8)岁;右侧13例, 左侧9例;摔伤14例, 投掷损伤5例, 日常生活损伤3例;受伤至手术时间3～7周。比较两组患者术前, 术后6个月、1年及2年UCLA评分和SST评分。
结果:两组患者术前SST和UCLA评分差异无统计学意义。治疗6个月后, 腱固定组SST和UCLA评分高于SLAP修复组, 且在UCLA的功能、前屈范围、前屈力量、满意度4个功能评分上均优于SLAP修复组。术后1年和2年后的随访结果中腱固定组SST、UCLA评分及UCLA分项之间比较差异均无统计学意义。
结论:SLAP损伤的腱固定治疗在短期内治疗效果优于SLAP修复组, 长期治疗效果两者相当。 |
| [关键词]:肩关节 创伤和损伤 外科手术 病例对照研究 |
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| Case-control study on superior labrum from anterior to posterior repair and biceps tenodesis for the treatment of type Ⅱ SLAP injury |
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Abstract:
Objective:To compare clinical outcomes of superior labrum from anterior to posterior(SLAP) repair and biceps tenodesis in treating typeⅡSLAP injury.
Methods:From March 2009 to March 2012, 38 patients with typeⅡSLAP injury were treated with SLAP repair and biceps tenodesis, and all patients were unilateral SLAP injury. Sixteen patients treated with biceps tenodesis included 8 males and 7 females with an average age of (49.3±3.7) years old (ranged, 45 to 54);10 cases were on the left side and 6 cases on the right side;10 cases were caused by falling down, 2 cases were caused by throwing damage and 4 cases were caused by daily life damage; the time from injury to operation were from 3 to 8 weeks. Twenty-two patients treated with SLAP repair included 14 males and 8 females with an average age of (49.0±2.8) years old (ranged, 44 to 56);13 cases were on the left side and 9 cases were on the right side;14 cases were caused by falling down, 5 cases were caused by throwing damage and 3 cases were caused by daily life damage; the time from injury to operation were from 3 to 7 weeks. Preoperative, postoperative at 6 months, 1 year and 2 years' UCLA and SST score were compared between two groups.
Results:There was no significant differences in UCLA and SST score between two groups before operation. At 6 months after operation, UCLA and SST score in biceps tenodesis group was higher than SLAP group, and action, range of anteflexion, strength of anteflexion, degree of satisfaction in biceps tenodesis group was higher than SLAP group. There was no significant meaning in SST and UCLA score between two groups at 1 and 2 years after operation.
Conclusion:Short-term efficacy of biceps tenodesis for SLAP injury is better than SLAP repair, but long-term efficacy is fairly. |
| KEYWORDS:Shoulder joint Wounds and injuries Surgical procedures,operative Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵晨,胡劲涛,孔明祥,邱斌松,顾海峰,章水均,徐跻峰,夏冰,毕擎.两种方法治疗Ⅱ型肩关节上盂唇前后部损伤的病例对照研究[J].中国骨伤,2015,28(6):531~535 |
| 英文格式: | ZHAO Chen,HU Jin-tao,KONG Ming-xiang,QIU Bin-song,GU Hai-feng,ZHANG Shui-jun,XU Ji-feng,XIA Bing,BI Qing.Case-control study on superior labrum from anterior to posterior repair and biceps tenodesis for the treatment of type Ⅱ SLAP injury[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(6):531~535 |
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