关节镜辅助下小切口肩袖修补术治疗肩袖损伤的临床效果及对患者UCLA、VAS评分的影响  

Clinical effect of arthroscopic assisted small incision rotator cuff repair in the treatment of rotator cuff injury and its influences on UCLA and VAS scores of patients

作　　者：张志昌 茹庆超 杨挺 徐海斌[1] ZHANG Zhichang;RU Qingchao;YANG Ting;XU Haibin(Orthopaedic Department,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China)

机构地区：[1]新乡医学院第一附属医院骨外科,河南新乡453100

出　　处：《临床医学研究与实践》2022年第28期61-63,共3页Clinical Research and Practice

摘　　要：目的探讨关节镜辅助下小切口肩袖修补术治疗肩袖损伤的临床效果。方法选取2018年1月至2020年12月我院收治的88例肩袖损伤患者为研究对象,依据患者入院编号的奇偶性将其分为观察组与对照组,各44例。观察组实施关节镜辅助下小切口肩袖修补术,对照组实施单纯小切口肩袖修补术。比较两组的治疗效果。结果术后3个月,两组的肩关节前屈、内旋、外旋活动度均大于术前,且观察组大于对照组(P<0.05)。术后2、4、8、12周,观察组的加州大学肩关节评分系统(UCLA)评分高于对照组,视觉模拟评分法(VAS)评分低于对照组(P<0.05)。观察组的治疗总有效率高于对照组(P<0.05)。术后2周,观察组的白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、C-反应蛋白(CRP)水平低于对照组(P<0.05)。结论关节镜下辅助小切口肩袖修补术治疗肩袖损伤的临床效果显著优于单纯小切口肩袖修补术,其有助于提升患者的远期肩关节功能,改善炎症指标,具有重要的应用价值。Objective To investigate the clinical effect of arthroscopically assisted small incision rotator cuff repair in the treatment of rotator cuff injury.Methods A total of 88 patients with rotator cuff injury admitted in our hospital from January 2018 to December 2020 were selected as the research objects.According to the parity of admission number,the patients were divided into observation group and control group,with 44 cases in each group.The observation group underwent arthroscopic assisted small incision rotator cuff repair,and the control group underwent simple small incision rotator cuff repair.The therapeutic effects of the two groups were compared.Results At 3 months after operation,the forward flexion,internal rotation and external rotation activity of shoulder joint in the two groups were greater than those before operation,and those in the observation group were greater than the control group(P<0.05).At 2,4,8 and 12 weeks after operation,the University of California at Los Angeles Shoulder Rating Scare(UCLA)score of the observation group was higher than that of the control group,and the Visual Analogue Scale(VAS)score was lower than that of the control group(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).Two weeks after operation,the levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and C-reactive protein(CRP)in the observation group were lower than those in the control group(P<0.05).Conclusion Arthroscopic assisted small incision rotator cuff repair in the treatment of rotator cuff injury has significantly better clinical effect than that of simple small incision rotator cuff repair.It is helpful to improve the long-term shoulder joint function of patients,ameliorate the inflammatory indexes,which has important application value.

关 键 词：肩袖损伤 关节镜辅助下小切口肩袖修补术 肩关节功能 

分 类 号：R687.4[医药卫生—骨科学]