肩关节镜下改良版双排Mason-Allen缝合技术在中、重度肩袖撕裂中的中期疗效探讨  

Midterm efficacy of modified double-row Mason-Allen suture technique in moderate to severe rotator cuff tears under arthroscopy

作　　者：韩宝昆 陶钧 马帅[2] 吴成玉 田甜 陈一萌 HAN Bao-kun;TAO Jun;MA Shuai;WU Cheng-yu;TIAN Tian;CHEN Yi-meng(Graduate school,Bengbu Medical University,Bengbu 233000,Anhui,China;不详)

机构地区：[1]蚌埠医科大学研究生院,安徽蚌埠233000 [2]安徽理工大学第一附属医院骨科,安徽淮南232000 [3]安徽理工大学医学院,安徽淮南232000

出　　处：《广东医学》2025年第1期77-82,共6页Guangdong Medical Journal

基　　金：安徽高校自然科学研究项目(KJ2021A0420)。

摘　　要：目的探讨肩关节镜下改良版双排Mason-Allen缝合技术与传统双排缝合-桥技术在中、重度肩袖撕裂中的中期疗效对比分析,以期为肩袖损伤患者探索更优治疗方案。方法选择2022年10月至2023年10月安徽理工大学第一附属医院收治的中、重度肩袖损伤患者中接受肩关节镜技术缝合的60例患者为研究对象,采用随机数字表法分为研究组30例和对照组30例。研究组患者采用关节镜下改良版双排Mason-Allen缝合技术进行肩袖修复,对照组患者采用肩关节镜下传统双排缝合-桥技术进行肩袖修复。比较两组术前和术后VAS评分、UCLA评分、Constant-Murley评分以及缝合时间和锚钉使用数量的差异。结果所有肩袖损伤患者术后均获得随访,随访时间为6个月,均无肩袖再撕裂产生,研究组缝合时间与使用锚钉数量均少于对照组(P<0.05)。末次随访时,研究组VAS评分(1.50±1.08)分、UCLA评分(31.00±0.87)分、Constant-Murley评分(87.00±1.88)分,对照组VAS评分(1.40±1.13)分、UCLA评分(31.00±0.91)分、Constant-Murley评分(86.73±1.86)分,差异无统计学意义(P>0.05)。结论肩袖撕裂患者选择改良版双排Mason-Allen缝合技术与传统双排缝合-桥技术均获得预期治疗效果,但改良版双排Mason-Allen缝合技术使用的锚定数量更少,缝合时间短,对肩袖损伤患者是一个非常有利的选择,可以作为肩袖损伤患者的更优治疗方案。Objective To compare the midterm efficacy of the modified double-row Mason-Allen suture technique with the traditional double-row suture-bridge technique for moderate to severe rotator cuff tears under arthroscopy.Methods Sixty patients with moderate to severe rotator cuff tears who underwent arthroscopic repair between October 2022 and October 2023 at the First Affiliated Hospital of Anhui University of Science and Technology were randomly assigned into two groups:the experimental group(30 cases)treated with the modified double-row Mason-Allen suture technique,and the control group(30 cases)treated with the traditional double-row suture-bridge technique.Outcome measures included MRI results,Visual Analog Scale(VAS),University of California,Los Angeles(UCLA)score,Constant-Murley score,operative time,and number of anchors used.The preoperative and final follow-up data were compared within and between the groups.Results All patients were followed up for six months,with no cases of rotator cuff retears.The experimental group required less suturing time and fewer anchors than the control group.At the final follow-up,the experimental group showed VAS scores of 1.50±1.08,UCLA scores of 31.00±0.87,and Constant-Murley scores of 87.00±1.88.The control group showed VAS scores of 1.40±0.73,UCLA scores of 31.00±0.91,and Constant-Murley scores of 86.73±1.86.Both groups demonstrated significant improvement from preoperative values(P<0.05).However,there were no significant differences in postoperative evaluation metrics between the two groups(P>0.05).Conclusion Both the modified double-row Mason-Allen suture technique and the traditional double-row suture-bridge technique achieved expected therapeutic outcomes for rotator cuff tear repairs.However,the modified technique offers advantages of reduced anchor usage and shorter suturing times,making it a superior choice for rotator cuff repair.

关 键 词：肩袖损伤 关节镜下肩袖修复术 双排缝合-桥缝合技术 改良版双排Mason-Allen缝合技术 

分 类 号：R686.1[医药卫生—骨科学] R615[医药卫生—外科学]