单纯关节镜下铆钉固定与关节镜辅助小切口铆钉固定技术修复肩袖损伤的疗效比较  

Comparison of Simple Arthroscopic Rivet Fixation and Arthroscopic Assisted Small Incision Rivet Fixation in the Repair of Rotator Cuff Injury

作　　者：张超[1] 黄庆雄 孙勇[1] 杨子飞 王龄磊 温然 梁宇飞 ZHANG Chao;HUANG Qing-xiong;SUN Yong;YANG Zi-fei;WANG Ling-lei;WEN Ran;LIANG Yu-fei(partment ofOrthopedics,The 75th Group Army Hospital of the Chinese People's Liberation Army,Dali,Yunnan,671003,China)

机构地区：[1]中国人民解放军陆军第七十五集团军医院骨科,云南大理671003

出　　处：《现代生物医学进展》2024年第18期3516-3521,3548,共7页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81600035)。

摘　　要：目的:对比单纯关节镜下铆钉固定与关节镜辅助小切口铆钉固定技术治疗肩袖损伤的临床效果。方法:选取我院2018年2月-2021年2月收治的78例肩袖损伤患者,按照随机数字法将患者为两组,每组39例,观察组使用关节镜下铆钉固定治疗,对照组使用关节镜辅助小切口铆钉固定技术治疗,观察比较患者围术期情况和视觉模拟评分法(VAS)疼痛评分;记录术后6个月及12个月的肩关节活动度,同时采用改良美国加州大学肩关节评分(UCLA)及Constant肩关节评分进行综合评价,另记录并发症发生率。结果:观察组手术时间高于对照组(P<0.05);观察组术后12个月的肩部外展和外旋活动度均优于对照组,具有统计学差异(P<0.05)。观察组术后12个月的改良UCLA评分及Constant肩关节评分均优于对照组,差异有统计学意义(P<0.05)。两组肩袖再损伤率和关节粘连发生率差异均无统计学意义(P>0.05)。结论:在肩袖损伤的远期疗效观察中,单纯关节镜下铆钉修复提供了更好的治疗效果,为保证肩袖损伤的远期疗效,单纯关节镜治疗仍是较好的选择。Objective:To compare the clinical effects of simple arthroscopic rivet fixation and arthroscopic assisted small incision rivet fixation in the treatment of rotator cuff injury.Methods:A total of 78 patients with rotator cuff injury admitted to our hospital from February 2018 to February 2021 were selected.The patients were divided into two groups according to the random number method,with 39 cases in each group.The observation group was treated with arthroscopic rivet fixation,and the control group was treated with arthroscopic assisted small incision rivet fixation.The perioperative conditions and Visual Analogue Scale(VAS)pain score of the patients were observed and compared;the shoulder range of motion at 6 and 12 months after operation was recorded.At the same time,the modified University of California Los Angeles Shoulder cores(UCLA)and Constant shoulder score were used for comprehensive evaluation,and the incidence of complications was recorded.Results:The operation time in the observation group was higher than that in the control group(P<0.05);The motion of shoulder abduction and external rotation in the observation group at 12 months after operation were better than those in the control group(P<0.05).The modified UCLA score and Constant shoulder score in the observation group at 12 months after operation were better than those in the control grou(P<0.05).There was no significant difference in the rate of rotator cuff reinjury and the incidence of joint adhesion between the two groups(P>0.05).Conclusion:In the long-term curative effect observation of rotator cuff injury,simple arthroscopic rivet repair provides a better therapeutic effect.In order to ensure the long-term curative effect of rotator cuff injury,simple arthroscopic treatment is still a better choice.

关 键 词：肩袖损伤 关节镜 铆钉固定 小切口 修复 

分 类 号：R684[医药卫生—骨科学] R681.7[医药卫生—外科学]