关节镜下无结缝线桥技术治疗大肩袖撕裂的效果分析  

Study on the effect of arthroscopic knotless suture bridge technique in treating patients with large rotator cuff tear

作　　者：何昌隆 张韬 李光喆 薛朝亚 HE Changlong;ZHANG Tao;LI Guangzhe;XUE Chaoya(Department of Sports Medicine,Qinhuangdao Hospital of Peking University Third Hospital,Hebei 066000,China;不详)

机构地区：[1]北京大学第三医院秦皇岛医院运动医学科,066000 [2]北京大学第三医院秦皇岛医院影像科,066000

出　　处：《临床外科杂志》2025年第2期154-157,共4页Journal of Clinical Surgery

基　　金：秦皇岛市科学技术研究与发展计划项目(202301A222)。

摘　　要：目的 探讨关节镜下无结缝线桥技术在大肩袖撕裂病人的中应用效果。方法 2022年1月~2023年10月收治的大肩袖撕裂病人213例,按治疗方法不同分常规有结组(77例)和无结组(136例)。常规有结组采用关节镜下有结缝线桥技术,无结组采用关节镜下无结缝线桥技术。比较两组治疗效果,记录术后并发症,随访肩袖再撕裂发生情况。结果 术后6个月,常规有结组和无结组SF-MPQ疼痛评分均明显降低,差异有统计学意义(P<0.05),Constant、UCLASS和ASES肩关节评分与肩关节前屈、外展、内旋、外旋活动角度均明显提高,与术前比较差异有统计学意义(P<0.05),但SF-MPO评分,Constant、UCLASS、ASES评分两组间比较,与术前比较差异无统计学意义(P>0.05);无结组并发症发生率与再撕裂发生率分别为4.41%、1.47%,常规有结组分别为11.69%和6.49%,两组比较差异有统计学意义(P<0.05)。结论 关节镜下有结与无结缝线桥技术均可促进大肩袖撕裂关节功能恢复,但无结缝线桥技术在减少并发症和再撕裂率方面具有优势。Objective To explore the application effect of arthroscopic knotless suture bridge technique in the treatment of patients with large rotator cuff tear.Methods Retrospective analysis of clinical data from 213 patients with large rotator cuff tear in first department of orthopedics of Qinhuangdao Military Hospital from January 2022 to October 2023.According to different treatment methods,they were divided into conventional knot group(n=77)and knotless group(n=136).The conventional knot group was treated with arthroscopic knot suture bridge technique,while the knotless group was given arthroscopic knotless suture bridge technique.The treatment effects were compared.Postoperative complications were recorded and the occurrence of rotator cuff re-tear was followed up.Results At 6 months after treatment,the SF-MPQ pain scores in conventional knot group and knotless group significantly reduced(P<0.05),and the Constant score,UCLASS score and ASES shoulder joint score and the angles of shoulder anteflexion,abduction,internal rotation and external rotation in both groups were significantly improved at 6 months after treatment(P<0.05).However,there was no significant difference in SF-MPO scores,Constant,UCLASS and ASES scores between the two groups compared with those before surgery(P>0.05).The incidence of complications and retear were 4.41%and 1.47%in the no-nodule group,and 11.69%and 6.49%in the conventional nodule group,respectively,and there was statistical significance between the two groups(P<0.05).Conclusion Arthroscopic knot and knotless suture bridge techniques can promote joint function recovery of large rotator cuff tear,and both have high minimally invasive value.However,knotless suture bridge technique has greater advantages in reducing complications and re-tear rate.

关 键 词：大肩袖撕裂 关节镜下无结缝线桥技术 关节功能 再撕裂率 

分 类 号：R68[医药卫生—骨科学]