关节镜下线桥技术治疗中老年人肩袖损伤  

Arthroscopic rotator cuff repair using a suture bridge technique in late middle aged adults

作　　者：李进选[1] 张磊[1] 刘劲松[1] 马佳[1] 李智尧[1] 孙晋[1] 张晟[1] 刘晓华[1] 

机构地区：[1]中国中医科学院望京医院关节四科,北京100102

出　　处：《中国骨伤》2015年第10期951-954,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的 ：评价肩关节镜下线桥技术治疗肩袖损伤的临床疗效。方法 ：回顾性分析2012年12月至2013年12月采用关节镜下线桥技术修复肩袖损伤30例的手术效果,其中男14例,女16例;年龄52~67岁,平均62岁。测定患者术前术后休息和活动时的VAS评分,肩关节前屈、外展和体侧外旋角度,美国加州大学肩关节评分（UCLA）和美国肩肘外科医生评分（ASES）。结果：术后所有患者获随访,平均随访时间13个月。小撕裂0例,中撕裂16例,大撕裂12例,巨大撕裂2例。休息时VAS评分从术前6.3±3.2降到随访时0.8±1.4,活动时VAS评分从术前7.7±2.1降到随访时1.7±1.6。手术前后关节活动度差异有统计学意义。UCLA评分由术前15.1±4.6增加到随访时31.2±5.0;ASES评分由术前的30.2±16.0增加到随访时80.4±13.0。患者对手术的满意率为94%,无术中和术后并发症。结论：关节镜下线桥技术治疗中老年人肩袖损伤是一种可靠安全有效的方法。Objective：To evaluate the clinical results after arthroscopic rotator cuff repair using a suture bridge technique in late middle aged adults. Methods：A retrospective analysis of 30 patients with rotator cuff tears,who were treated consecutively between December 2012 and December 2013 at our clinic,was carried out to evaluate the outcome of arthroscopic suture bridge technique. The visual analogue scale（VAS）,the range of motion（ROM）,the rating scale of the University of California at Los Angeles（UCLA）,and the shoulder index of the American Shoulder and Elbow Surgeons（ASES） were determined as the evaluation criteria. Results：The mean follow up period was 13 months. The follow up rate was 100%. The study included 0small,16 medium,12 large and 2 massive rotator cuff tears. At the latest follow up,the VAS score decreased significantly from preoperative 6.3 ±3.2 to 0.8 ±1.4 at rest,and from preoperative 7.7 ±2.1 to 1.7 ±1.6 during motion. The UCLA score improved significantly from 15.1 ±4.6 preoperatively to 31.2 ±5.0 at follow up. The ASES shoulder index improved significantly from30.2 ±16.0 preoperatively to 80.4 ±13.0 at follow up. The ROM improved significantly. The satisfactory rate was 94%. There were no complications. Conclusion：The results of this study indicate that the arthroscopic suture bridge technique is an effective and reliable treatment for patients with rotator cuff tear in late middle aged adults.

关 键 词：肩关节 关节镜 修复外科手术 

分 类 号：R687.4[医药卫生—骨科学]