无结缝线桥固定术与有结缝线桥固定术对肩袖损伤患者关节活动度、ASES评分和术后并发症的影响  

Effects of knotless and knotted suture bridge fixation on range of motion,ASES scores,and postoperative complications in patients with rotator cuff injury

作　　者：王挺[1] 王华磊[1] 郭雄飞[1] 汤立新[2] WANG Ting;WANG Hua-lei;GUO Xiong-fei;TANG Li-xin(The First Department of Orthopedics,Nanyang Central Hospital,Nanyang 473000,Henan,CHINA;WardⅠof Department of Orthopedics,Nanyang Central Hospital,Nanyang 473000,Henan,CHINA)

机构地区：[1]南阳市中心医院骨一科,河南南阳473000 [2]南阳市中心医院骨科一病区,河南南阳473000

出　　处：《海南医学》2024年第14期2007-2011,共5页Hainan Medical Journal

基　　金：2021年国家卫生健康委科学研究基金项目(编号:SBCJ202103108)。

摘　　要：目的探讨无结缝线桥固定术与有结缝线桥固定术对肩袖损伤患者关节活动度、美国肩肘外科协会评分(ASES)和术后并发症的影响。方法回顾性分析2020年6月至2022年6月于南阳市中心医院就诊的104例肩袖损伤患者的临床资料,按治疗方式的不同将患者分为对照组50例和研究组54例。对照组患者接受有结缝线桥固定术,研究组患者接受无结缝线桥固定术。术后随访12个月,比较两组患者术前及术后12个月的前屈活动度、外旋活动度、疼痛视觉模拟评分(VAS)、ASES评分、肩关节Constant评分、加州大学洛杉矶分校肩关节功能评分(UCLA)、肩袖再撕裂发生情况以及术后并发症发生情况。结果术前两组患者的前屈活动度、外旋活动度以及VAS评分比较差异均无统计学意义(P>0.05);术后12个月,两组患者的前屈活动度、外旋活动度明显高于术前,VAS评分明显低于术前,差异均有统计学意义(P<0.05),但两组患者术后12个月的前屈活动度、外旋活动度和VAS评分比较差异均无统计学意义(P>0.05);术前两组患者的ASES、肩关节Constant、UCLA、VAS评分比较差异均无统计学意义(P>0.05);术后12个月,两组患者的ASES、肩关节Constant、UCLA、VAS评分明显高于术前,差异均有统计学意义(P<0.05),但两组患者术后12个月的ASES评分、肩关节Constant评分和UCLA评分比较差异均无统计学意义(P>0.05);研究组患者的肩袖再撕裂率为1.85%,明显低于对照组的12.00%,差异有统计学意义(P<0.05);研究组患者的术后并发症率为5.56%,略低于对照组的8.00%,但差异无统计学意义(P>0.05)。结论无结缝线桥固定术与有结缝线桥固定术临床治疗效果接近,但无结缝线桥固定术可显著降低肩袖再撕裂率。Objective To explore the effects of knotless and knotted suture bridge fixation on range of motion,scores of American Shoulder and Elbow Surgeons(ASES),and postoperative complications in patients with rotator cuff injury.Methods A retrospective analysis was performed on the clinical data of 104 patients with rotator cuff injury in Nanyang Central Hospital between June 2020 and June 2022.According to different treatment methods,the patients were divided into a control group(50 cases,knotted suture bridge fixation)and a study group(54 cases,knotless suture bridge fixation).All the patients were followed up for 12 months after surgery.The range of motion(anterior flexion,external rotation),scores of Visual Analogue Scale(VAS),ASES,shoulder Constant,and University of California at Los Angeles(UCLA),occurrence of rotator cuff re-tear,and postoperative complications were compared between the two groups before and at 12 months after surgery.Results Before surgery,there was no significant difference in range of motion(anterior flexion,external rotation)or VAS score between the two groups(P>0.05).At 12 months after surgery,range of motion(anterior flexion,external rotation)was significantly increased,and VAS scores were significantly decreased in both groups,with statistically significant differences(P<0.05);there was no significant difference in anterior flexion,external rotation or VAS score between the two groups(P>0.05).Before surgery,there was no significant difference in scores of ASES,shoulder Constant,UCLA,and VAS between the two groups(P>0.05).At 12 months after surgery,scores of ASES,shoulder Constant,UCLA,and VAS were significantly increased in both groups,and the differences were statistically significant(P<0.05);there was no significant difference in the above scores between the two groups(P>0.05).The rotator cuff re-tear rate in study group was significantly lower than that in the control group(1.85%vs12.00%,P<0.05).There was no significant difference in the incidence of postoperative complications between t

关 键 词：肩袖损伤 无结缝线桥固定术 有结缝线桥固定术 关节活动度 并发症 

分 类 号：R684[医药卫生—骨科学]