镜下"中国结"修复冈上肌腱腹交界区撕裂  

"Chinese knot"for arthroscopic repair of supraspinatus tear in muscle-tendon junction

作　　者：刘震[1] 王晗[1] 王晓光[1] 唐绪军[1] 贾古友 刘树民[1] LIU Zhen;WANG Han;WANG Xiao-guang;TANG Xu-jun;JIA Gu-you;LIU Shu-min(Department of Orthopaedics and Joint Surgery,The Second People 5 Hospital of lining City,Jining 272049,China)

机构地区：[1]济宁市第二人民医院骨关节科,山东济宁272049

出　　处：《中国矫形外科杂志》2022年第8期745-748,共4页Orthopedic Journal of China

基　　金：济宁市科技助推新旧动能转换计划项目(编号:2017SMNS014)。

摘　　要：[目的]介绍镜下"中国结"技术修复冈上肌腱腹交界区肩袖撕裂的手术技术和初步临床效果.[方法]2020年2月-2021年1月采用"中国结"缝合技术治疗邻近腱腹交界区域肩袖撕裂患者14例,以爱惜邦缝合线在撕裂肩袖组织上呈倒三角分布编织"中国结"外观,适当张力下以外排锚钉固定,视情况结合"侧侧缝合"增强修复肩袖.[结果]14例患者均顺利完成手术,无严重并发症,平均手术时间(92.23±15.34)min,平均随访时间(7.22±1.85)个月.随术后时间推移,UCLA评分、Constant评分、肩关节活动范围显著增加,而VAS评分显著降低(P<0.05).术后9个月复查MRI均可观察到肩袖组织呈连续性影像.[结论]镜下"中国结"技术治疗邻近腱腹交界区域冈上肌撕裂临床效果可靠,技术可行.[Objective]To introduce the surgical technique and preliminary clinical outcomes of"Chinese knot"for arthroscopic repair of supraspinatus tear in muscle-tendon junction.[Methods]Form February 2020 to January 2021,14 patients underwent arthroscopic repair of supraspinatus tear in muscle-tendon junction with this Chinese knot technique.The Ethibond sutures were placed in the proximal end of the tom rotator cuff in a reverse triangle shape,like a"Chinese knot"in appearance,and then an anchor was inserted on the outside row,tied under the appropriate tension to repair the rupture.The side-side sutures were added to strengthen the rotator cuff repair if neces・sary.[Results]All the 14 patients were successfully operated on without serious complications,with operation time of(92.23±15.34)min.and were followed up for(7.22±1.85)months on average.The UCLA score,Constant score and range of motion of shoulder significantly increased(P<0.05),while VAS score significantly decreased over time(P<0.05).The MRI checks in regular revealed rotator cuff tissue healing about 9 months after operation.[Conclusion]This"Chinese knot"technique for arthroscopic repair of supraspinatus tear in muscletendon junction is feasible,and achieves reliable clinical outcomes.

关 键 词：关节镜 肩袖损伤 腱腹结合部撕裂 中国结 缝合技术 

分 类 号：R683.41[医药卫生—骨科学]