肩关节镜下单、双排缝合巨大肩袖撕裂的临床疗效比较  

Clinical Efficacy Comparison of Arthroscopic Single-Row and Double-Row Suture Repair for Massive Rotator Cuff Tears

作　　者：金鹏宇 范龙 张杰[1] 姜胜强 孟晔[3] 

机构地区：[1]青岛大学青岛医学院,山东 青岛 [2]济宁医学院附属医院,山东 济宁 [3]青岛市市立医院运动医学科,山东 青岛

出　　处：《临床医学进展》2024年第2期3270-3277,共8页Advances in Clinical Medicine

摘　　要：目的:对比肩关节镜下单排缝合与双排缝合治疗巨大肩袖撕裂的临床疗效。方法:我们在青岛市市立医院收集了70例巨大肩袖撕裂患者,所有患者均收治于2022年7月~2023年1月期间,根据手术方式不同分为单排组和双排组,每组35例。单排组给予关节镜下单排缝合治疗,双排组给予关节镜下双排缝合治疗。随访两组患者术后6个月肩关节临床功能恢复情况及核磁共振影像肩袖完整情况。结果:两组患者术前ASES、CMS、UCLA、OSS、VAS评分相比较,P > 0.05,无统计学差异。两组患者术后ASES、CMS、UCLA评分均比术前高,且双排组比单排组高,P 0.05,比较不存在统计学差异。两组患者术后MRI肩袖完整情况均优于术前,且双排组优于单排组,P < 0.05,比较存在统计学差异。结论:肩关节镜下治疗巨大肩袖撕裂,在ASES、CMS、UCLA、OSS评分及MRI下肩袖完整情况方面说明双排缝合治疗相比于单排缝合效果更佳,但在VAS评分方面双排缝合治疗相比于单排缝合并无明显优势。Objective: To compare the clinical efficacy of arthroscopic single-row and double-row suture repair for massive rotator cuff tears. Methods: We collected 70 patients with massive rotator cuff tears at Qingdao Municipal Hospital who were admitted from July 2022 to January 2023. The patients were divided into a single row group and a double row group based on different surgical techniques, with 35 cases in each group. The single row group underwent arthroscopic single-row suture repair, while the double row group underwent arthroscopic double-row suture repair. The shoulder joint’s clinical functional recovery and the rotator cuff’s integrity on magnetic resonance imaging (MRI) were evaluated before surgery and six months after treatment. Results: There was no significant difference in ASES, CMS, UCLA, OSS, VAS scores, and MRI findings of rotator cuff integrity between the two groups before surgery (P > 0.05). After surgery, the ASES, CMS and UCLA scores were signif-icantly higher in both groups than before surgery, with the double row group showing higher scores than the single row group (P 0.05). The MRI findings of rotator cuff integrity were better in both groups after surgery, with the double row group showing better results than the single row group (P < 0.05). Conclusion: Arthroscopic treatment of massive rotator cuff tears shows better results regarding ASES, CMS, UCLA, OSS scores, and MRI assessment when comparing dou-ble-row repair to single-row repair. However, regarding VAS scores, there is no significant ad-vantage of double-row repair over single-row repair.

关 键 词：肩关节镜 单排缝合 双排缝合 巨大肩袖撕裂 

分 类 号：R68[医药卫生—骨科学]