全镜下修复治疗肩袖损伤的效果及对肩关节功能的影响  

Effect of Full Endoscopic Repair on Rotator Cuff Injury and Its Effect on Shoulder Joint Function

作　　者：陈昱[1] 詹儒东 邱美光[1] 李建华 刘国铭[1] 胡旭[1] 周仕国[1] CHEN Yu;ZHAN Rudong;QIU Meiguang;LI Jianhua;LIU Guoming;HU Xu;ZHOU Shiguo(Fujian Provincial Hospital South Hospital,Fuzhou 350001,China;不详)

机构地区：[1]福建省立医院南院(福建医科大学省立临床医学院),福建福州350001

出　　处：《中外医学研究》2023年第13期118-121,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析全镜下修复在肩袖损伤患者治疗中的应用优势,为临床治疗提供数据参考。方法:选取2019年1月—2022年1月福建省立医院南院收治的62例肩袖损伤患者,随机分为微创组和常规组,各31例。微创组采用全镜下肩袖修复术治疗,常规组实施常规肩袖修复术治疗。比较两组围手术期指标、并发症发生率、美国加州大学(UCLA)肩关节评分、美国肩肘外科协会(ASES)评分、视觉模拟评分法(VAS)评分及肩关节功能优良率。结果:微创组手术时间、住院时间短于常规组,术中出血量少于常规组,差异有统计学意义(P<0.05)。微创组并发症发生率为6.45%,低于常规组的12.90%,但两组间比较差异无统计学意义(P>0.05)。术后6个月,微创组UCLA评分、ASES评分高于常规组,VAS评分低于常规组,差异有统计学意义(P<0.05)。随访6个月,微创组总有效率(100.00%)高于常规组(80.65%),差异有统计学意义(P<0.05)。结论:全镜下修复治疗肩袖损伤安全性高,有助于恢复肩关节功能,缓解术后疼痛,且能提高远期疗效。Objective:To analyze the the application advantages of full endoscopic repair in the treatment of patients with rotator cuff injury,and provide data reference for clinical treatment.Method:A total of 62 patients with rotator cuff injury admitted to the Fujian Provincial Hospital South Hospital from January 2019 to January 2022 were randomly divided into minimally invasive group and conventional group,with 31 patients in each group.The minimally invasive group received full endoscopic rotator cuff repair surgery,while the conventional group received routine rotator cuff repair surgery.The perioperative indicators,complications,the University of California at Los Angeles(UCLA)shoulder joint score,rating scale of the American Shoulder and Elbow Surgeons(ASES),visual analog scale(VAS)scores,excellent and good rate of shoulder joint function between the two groups were compared.Result:The surgical time and hospitalization time of the minimally invasive group were shorter than those of the conventional group,and the intraoperative bleeding volume was lower than that of the conventional group,the differences were statistically significant(P<0.05).The incidence of complications in the minimally invasive group was 6.45%,lower than 12.90%in the conventional group,but there was no statistically significant difference between the two groups(P>0.05).At 6 months after surgery,the UCLA score and ASES score in the minimally invasive group were higher than those in the conventional group,while the VAS score was lower than that in the conventional group,the differences were statistically significant(P<0.05).Following up for 6 months,the total effective rate in the minimally invasive group(100.00%)was higher than that in the conventional group(80.65%),the difference was statistically significant(P<0.05).Conclusion:The treatment of rotator cuff injury under full endoscopic repair has high safety,helps to restore shoulder joint function,alleviate postoperative pain,and can improve long-term efficacy.

关 键 词：肩袖损伤 肩袖修复术 全镜 肩外展功能 疼痛程度 

分 类 号：R687.4[医药卫生—骨科学]