关节镜下缝线桥技术与传统双排技术修复肩袖撕裂的临床效果探讨  

The clinical effect of arthroscopic suture-bridge technique and conventional double-row technique in repairing rotator cuff tear

作　　者：滕泰 董治盛 张俊 陈建[1,2] TENG Tai;DONG Zhi-sheng;ZHANG Jun(Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学,750004 [2]宁夏银川国龙骨科医院,750003

出　　处：《中国实用医药》2025年第5期19-22,共4页China Practical Medicine

摘　　要：目的观察肩袖撕裂患者实行传统双排技术及关节镜下缝线桥技术修复的效果。方法选取80例肩袖撕裂患者为研究对象,依照治疗方式不同分为对照组和观察组,各40例。对照组实行传统双排技术修复,观察组则实施关节镜下缝线桥技术修复。对比两组并发症发生情况、生活质量评分、手术指标、Constant-Murley肩关节评分量表评分。结果观察组并发症发生率5.00%低于对照组的20.00%(P<0.05)。治疗后,观察组社会功能、躯体功能、角色功能、情绪功能评分分别为(92.45±4.75)、(89.68±4.10)、(88.75±4.31)、(88.45±5.27)分,高于对照组的(80.16±4.68)、(77.96±2.93)、(76.43±3.27)、(75.48±3.85)分(P<0.05)。观察组手术时间(74.54±15.64)min短于对照组的(86.47±15.36)min,视觉模拟评分法(VAS)评分(0.94±0.45)分低于对照组的(1.34±0.15)分(P<0.05)。术后1、3、6个月,观察组Constant-Murley肩关节评分量表评分分别为(59.64±4.15)、(72.64±2.89)、(90.31±2.06)分,高于对照组的(53.12±2.64)、(68.45±2.76)、(85.97±3.01)分(P<0.05)。结论肩袖损伤患者采取关节镜下缝线桥技术修复的临床治疗效果相较于传统双排技术更加显著,手术时间短,术后再撕裂几率低,建议在临床中进行推广运用。Objective To observe the effect of arthroscopic suture-bridge technique and conventional double-row technique in repairing rotator cuff tear.Methods A total of 80 patients with rotator cuff tear were selected and divided into a control group and an observation group according to different treatment methods,each with 40 cases.The control group was repaired with conventional double-row technique,and the observation group was repaired with arthroscopic suture-bridge technique.The complications,quality of life score,surgical indexes and Constant-Murley score were compared between the two groups.Results The complication rate of 5.00%in the observation group was lower than 20.00%in the control group(P<0.05).After treatment,the scores of social function,physical function,role function and emotional function in the observation group were(92.45±4.75),(89.68±4.10),(88.75±4.31)and(88.45±5.27)points,which were higher than(80.16±4.68),(77.96±2.93),(76.43±3.27)and(75.48±3.85)points in the control group(P<0.05).The observation group had a shorter operation time of(74.54±15.64)min than(86.47±15.36)min in the control group,and a lower VAS score of(0.94±0.45)points than(1.34±0.15)points in the control group(P<0.05).1,3 and 6 months after surgery,the Constant-Murley scores of the observation group were(59.64±4.15),(72.64±2.89)and(90.31±2.06)points,which were higher than(53.12±2.64),(68.45±2.76)and(85.97±3.01)points of the control group(P<0.05).Conclusion Compared with the conventional double-row technique,the clinical therapeutic effect of arthroscopic suture-bridge technique for repairing of rotator cuff injury is more significant,and the operation time is shortened and the probability of re-tearing after surgery is low.It is recommended to promote its application in clinical practice.

关 键 词：关节镜下缝线桥技术 传统双排技术 肩袖撕裂 修复 临床效果 

分 类 号：R68[医药卫生—骨科学]