肩关节镜下单排双排锚钉治疗肩袖损伤的疗效分析  

Therapeutic Effect of Single Row and Double Row Anchors under Rotator Arthroscopy on Rotator Cuff Injury

作　　者：丘天雄 王超平[1] 姜景尧 QIU Tian-xiong;WANG Chao-ping;JIANG Jing-yao(Department of Orthopaedics,the Second Hospital of Longyan City,Longyan,Fujian Province,364000 China)

机构地区：[1]福建省龙岩市第二医院骨科,福建龙岩364000

出　　处：《中外医疗》2020年第13期17-19,共3页China & Foreign Medical Treatment

摘　　要：目的比较单排双排锚钉治疗肩袖损伤的疗效差异,为今后治疗方案制定提供参考。方法随机选择2016年1月-2018年2月该院收治肩袖损伤患者84例,采用随机数字表法分为观察组和对照组,每组42例。观察组采用肩关节镜双排锚钉修补,对照组采用肩关节镜单排锚钉修补。比较两组手术前后的UCLA评分以及术后再撕裂发生率。结果手术前,两组患者的UCLA评分对比,差异无统计学意义(P>0.05);术后1年,两组患者的UCLA评分均较手术前明显升高,且观察组患者的UCLA评分明显高于对照组[(33.86±5.30)分vs (29.31±4.75)分],差异有统计学意义(t=5.103,P<0.05)。观察组术后再撕裂发生率为2.38%,对照组术后再撕裂发生率为9.52%,两组对比差异有统计学意义(χ^2=5.788,P<0.05)。结论肩关节镜双排锚钉修补能够有效降低肩袖损伤患者再撕裂发生风险,改善肩关节功能。Objective To compare the curative effect difference between single-row and double-row anchors in treating rotator cuff injury,and to provide reference for the future treatment plan.Methods A total of 84 patients with rotator cuff injuries treated in the hospital from January 2016 to February 2018 were randomly selected and divided into the observation group and the control group,with 42 cases in each group,which were divided by the random number table method.The observation group was repaired with shoulder arthroscopy double row anchors,and the control group was repaired with shoulder arthroscope single row anchors.The UCLA score before and after surgery and the incidence of re-tear after surgery were compared between the two groups.Results There was no statistically significant difference in UCLA score between the two groups of patients before surgery(P>0.05).At 1 year after operation,the UCLA scores of the two groups were significantly higher than those before surgery,and the UCLA scores of the observation group were significantly higher.Compared with the control group[(33.86±5.30)points vs(29.31±4.75)points],and the difference was statistically significant(t=5.103,P<0.05).The incidence of postoperative tear in the observation group was 2.38%,and the incidence of postoperative tear in the control group was 9.52%.The difference between the two groups was statistically significant(χ^2=5.788,P<0.05).Conclusion Shoulder arthroscopy double row anchor repair can effectively reduce the risk of re-tear in patients with rotator cuff injury and improve shoulder joint function.

关 键 词：肩袖损伤 双排锚钉 肩关节镜 临床疗效 

分 类 号：R4[医药卫生—临床医学]