影响冈上肌腱修补术后再发撕裂的术前相关因素分析  

Analysis of Preoperative Related Factors Affecting Retear After Supraspinatus Tendon Repair

作　　者：周桢杰 ZHOU Zhenjie(Department of Joint and Sports Medicine,Zhuji People′s Hospital,Zhuji 311800,Zhejiang,China)

机构地区：[1]诸暨市人民医院关节与运动医学科,浙江诸暨311800

出　　处：《医学信息》2025年第5期119-122,共4页Journal of Medical Information

基　　金：诸暨市医药卫生科技计划项目(编号:2021YW048)。

摘　　要：目的分析影响冈上肌腱修补术后再发撕裂的术前相关因素。方法回顾性分析2019年10月-2020年12月我院因冈上肌腱撕裂行肩关节镜下肩袖修补手术病例,共纳入患者82例,随访时间12个月,根据术后随访时磁共振检查结果分为未再撕裂组和再撕裂组,比较两组年龄、性别、体质指数(BMI)、糖尿病史、冈上肌脂肪浸润(Goutallier标准)、肌腱撕裂宽度、肌腱回缩、肩肱间隙,分析影响术后再发撕裂的因素。结果单因素分析结果显示,两组年龄、冈上肌脂肪浸润、撕裂宽度和肌腱回缩比较,差异有统计学意义(P<0.05);多因素分析结果显示,年龄、肌腱回缩和撕裂宽度是再撕裂的影响因素(P<0.05)。结论年龄、肌腱回缩和撕裂大小是冈上肌腱修补术后再发撕裂的主要术前影响因素,可作为临床医生预测术后再撕裂的重点参考因素。Objective To analyze the preoperative related factors affecting retear after supraspinatus tendon repair.Methods A retrospective analysis of the cases of arthroscopic rotator cuff repair due to supraspinatus tendon tear in our hospital from October 2019 to December 2020 was conducted.A total of 82 patients were included and followed up for 12 months.According to the results of magnetic resonance examination during postoperative follow-up,they were divided into non-retear group and retear group.The age,gender,body mass index(BMI),history of diabetes,fat infiltration of supraspinatus muscle(Goutallier standard),width of tendon tear,tendon retraction and shoulder-brachial space were compared between the two groups,and the factors affecting postoperative retear were analyzed.Results Univariate analysis showed that there were significant differences in age,supraspinatus fat infiltration,tear width and tendon retraction between the two groups(P<0.05).Multivariate analysis showed that age,tendon retraction and tear width were the influencing factors of retear(P<0.05).Conclusion Age,tendon retraction and tear size are the main preoperative influencing factors of retear after supraspinatus tendon repair,which can be used as the key reference factors for clinicians to predict postoperative retear.

关 键 词：冈上肌腱 再发撕裂 肩关节镜下肩袖修补手术 

分 类 号：R687.2[医药卫生—骨科学]