关节镜下金属带线锚钉修复青年肩关节Ⅱ型SLAP损伤的疗效分析  

Clinical effect of arthroscopic repair with metal suture anchor on typeⅡsuperior labral anterior to posterior lesion of the youth

作　　者：郭珊成 刘家粮 胡志琦 罗剑[1] GUO Shan-cheng;LIU Jia-liang;HU Zhi-qi;LUO Jian(Department of Orthopedics,the First Naval Hospital of Chinese PLA Southern Theater Command,Zhanjiang Guangdong 524005,China)

机构地区：[1]中国人民解放军南部战区海军第一医院骨科,广东湛江524005

出　　处：《局解手术学杂志》2024年第6期513-516,共4页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的观察肩关节镜下采用金属带线锚钉的固定方式对患有Ⅱ型从前到后上盂唇(SLAP)损伤的青年患者进行缝合修复的临床疗效。方法回顾性分析我院32例在肩关节镜下采用金属带线锚钉缝合修复Ⅱ型SLAP损伤的青年患者临床资料。统计患者术后并发症发生情况;采用视觉模拟量表(VAS)评分评价患者疼痛情况;采用Rowe肩关节评分系统、肩关节功能Constant-Murley评分系统和美国肩肘外科协会(ASES)评分系统综合评价患者肩关节功能。结果32例患者均顺利完成手术,并随访12~27个月,平均随访时间15个月。术后32例患者的肩部疼痛和活动受限等症状均明显缓解,无肩关节感染、肩关节不稳、神经血管损伤等并发症发生。所有患者术后VAS评分、Rowe评分、Constant-Murley评分和ASES评分均优于术前(P<0.05)。结论肩关节镜下采用金属带线锚钉修复青年Ⅱ型SLPA损伤可获得良好的临床效果。Objective To observe the clinical effect of arthroscopic repair with metal suture anchor on typeⅡsuperior labral anterior to posterior(SLAP)lesion of the youth.Methods The clinical data of 32 young patients with typeⅡSLAP lesion who underwent arthroscopic repair with metal suture anchor were retrospectively analyzed.The postoperative complications of patients were counted.The visual analogue scale(VAS)score was used to evaluate the pain of patients.Rowe shoulder scoring system,Constant-Murley scoring system and American Shoulder and Elbow Surgeons(ASES)scoring system were used to evaluate the shoulder joint function.Results All the 32 patients successfully completed the operation,and they were followed up for 12 to 27 months,with the mean follow-up time of 15 months.After operation,the symptoms of shoulder pain and limited movement of 32 patients were significantly relieved,without complications such as shoulder joint infection,shoulder joint instability,or neurovascular injury.The postoperative VAS score,Rowe score,Constant-Murley score and ASES score of all patients were better than those before operation(P<0.05).Conclusion Arthroscopic repair with metal suture anchor on typeⅡSLAP lesion of the youth can achieve satisfactory clinical outcomes.

关 键 词：关节镜 金属带线锚钉 青年 从前到后上盂唇损伤 肩关节 

分 类 号：R684.73[医药卫生—骨科学]