| 关节镜辅助下小切口修补术与全关节镜下修补术治疗肩袖损伤的病例对照研究 |
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Received:February 28, 2017
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| 作者 | Author | 单位 | Unit | E-Mail |
| 魏海清 |
WEI Hai-qing |
武警浙江省总队医院关节外科, 浙江 嘉兴 314000 |
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| 陆金荣 |
LU Jin-rong |
武警浙江省总队医院关节外科, 浙江 嘉兴 314000 |
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| 金文孝 |
JIN Wen-xiao |
武警浙江省总队医院关节外科, 浙江 嘉兴 314000 |
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| 申世源 |
SHEN Shi-yuan |
武警浙江省总队医院关节外科, 浙江 嘉兴 314000 |
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| 吴成 |
WU Cheng |
武警浙江省总队医院关节外科, 浙江 嘉兴 314000 |
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| 谢国庆 |
XIE Guo-qing |
武警浙江省总队医院关节外科, 浙江 嘉兴 314000 |
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| 薛军 |
XUE Jun |
武警浙江省总队医院关节外科, 浙江 嘉兴 314000 |
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| 杜静 |
DU Jing |
嘉兴市南湖区建设街道社区卫生服务中心, 浙江 嘉兴 314001 |
Jianshe Community Health Service Center of Nanhu District, Jiaxing 314001, Zhejiang, China |
qiangwe1562@sina.com |
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| 期刊信息：《中国骨伤》2017年30卷，第8期，第711-715页 |
| DOI：10.3969/j.issn.1003-0034.2017.08.006 |
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目的：探讨关节镜辅助下小切口修补术与全关节镜下修补术治疗肩袖损伤的临床疗效。
方法：对2012年1月至2015年1月治疗的肩袖损伤86例临床资料进行回顾性分析，依据治疗方式的不同分为两组，即关节镜辅助下小切口修补组（A组）和全关节镜下修补组（B组）。A组46例，男25例，女21例；平均年龄（52.8±7.8）岁；采用关节镜辅助下小切口肩袖修补术治疗。B组40例，男23例，女17例；平均年龄（53.2±9.5）岁；采用全关节镜下肩袖修补术治疗。比较两组治疗前后肩关节活动度、肌力情况以及ASES、UCLA、VAS评分。
结果：所有患者获随访，随访时间18~35个月，平均20.8个月。A组患者术后肩关节外展活动度（131.4±18.8）°，外旋（64.9±8.8）°，内旋（63.7±7.3）°；B组患者术后外展活动度（132.3±16.9）°，外旋（65.1±9.4）°，内旋（64.4±8.1）°；两组术后肩关节活动度均较治疗前显著增加（P<0.05），但术后两组患者肩关节活动度比较差异无统计学意义（P>0.05）。治疗后，A组患者ASES评分88.4±8.9，UCLA评分29.6±3.6，VAS评分1.4±0.3；B组患者ASES评分89.5±9.6，UCLA评分30.8±4.1，VAS评分1.3±0.4；治疗后两组ASES、UCLA评分较治疗前增加，VAS评分较治疗前下降（P<0.05）；但治疗后两组间比较差异无统计学意义（P>0.05）。
结论：关节镜辅助下小切口修补术与全关节镜下修补对于肩袖损伤均具有一定的临床疗效，可以提升手术治疗安全性及可靠性。 |
| [关键词]:关节镜 肩关节 创伤和损伤 病例对照研究 |
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| Comparison and analysis of clinical effects of total arthroscopic repair and arthroscopic-assisted small incision repair for the treatment of rotator cuff injury |
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Abstract:
Objective: To investigate the clinical effects of arthroscopic repair and arthroscopic-assisted small incision repair for the treatment of rotator cuff injury.
Methods: The clinical data of 86 patients with rotator cuff injury from January 2012 to January 2015 were analyzed retrospectively. All the patients were divided into two groups:arthroscopic-assisted small incision repair group(group A) and arthroscopic repair group(group B). There were 46 patients in group A,including 25 males and 21 females,with an average age of (52.8±7.8) years old. And there were 40 patients in group B,including 23 males and 17 females,with an average age of (53.2±9.5) years old. Several indexes such as shoulder joint activity,muscle strength and ASES,UCLA and VAS scores were examined before and after operation to compare therapeutic effects between these two groups.
Results: All the patients were followed up,and the mean time was 20.8 months (ranged,18 to 35 months). The results of patients in group A as follows:range of abduction motion of shoulder joint was (131.4±18.8)°,external rotation was (64.9±8.8)°, and internal rotation was(63.7±7.3)°. Results of patients in group B as follows:range of abduction motion of shoulder joint was(132.3±16.9),external rotation was(65.1±9.4)°,and internal rotation was(64.4±8.1)°. All the patients had better shoulder mobility than those before-operation,but there were no significant differences between two groups after operation. Postoperative scores of patients in group A:ASES was 88.4±8.9,UCLA score was 29.6±3.6,VAS was 1.4±0.3; and in group B,the above scores were 89.5±9.6,30.8±4.1 and 1.3±0.4 respectively. All the patients had better scores than those before-operation,but there were no significant differences between two groups after operation.
Conclusion: Arthroscopic repair and arthroscopic-assisted small incision for repair of rotator cuff injury has clinical curative effects to some extent,and these two methods could improve the safety and reliability of surgical treatment. |
| KEYWORDS:Arthroscopes Shoulder joint Wounds and injuries 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: | 魏海清,陆金荣,金文孝,申世源,吴成,谢国庆,薛军,杜静.关节镜辅助下小切口修补术与全关节镜下修补术治疗肩袖损伤的病例对照研究[J].中国骨伤,2017,30(8):711~715 |
| 英文格式: | WEI Hai-qing,LU Jin-rong,JIN Wen-xiao,SHEN Shi-yuan,WU Cheng,XIE Guo-qing,XUE Jun,DU Jing.Comparison and analysis of clinical effects of total arthroscopic repair and arthroscopic-assisted small incision repair for the treatment of rotator cuff injury[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(8):711~715 |
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