肩峰成形对肩袖损伤缝线桥修复术后功能的影响

The Effect of Acromioplasty in the Suture Bridge Rotator Cuff Repair under Arthroscopy

目的:评价关节镜下肩峰成形术在肩袖损伤修复中的临床疗效。方法:2012年5至2014年5月接受关节镜下肩袖损伤缝线桥固定的患者65例,男42例,女23例,随机分为两组,一组术中同时行关节镜下肩峰成形手术(实验组),另一组术中行关节镜下肩峰下清理,不做骨质的切除(对照组)。两组患者年龄、性别、侧别的差异均无统计学意义。记录两组手术时间,比较术后3个月、12个月时肩关节活动度、美国加州大学洛杉矶分校评分系统(ULCA)、美国肩肘外科医师评分系统(ASES)、视觉模拟评分(VAS)和Constant评分变化。结果:实验组与对照组在手术时间上两组差异有统计学意义(t=-18.5,P<0.05);实验组与对照组术后3个月、12个月肩关节活动范围、肩关节功能评分方面两组差异无统计学意义(P>0.05)。结论:关节镜下肩袖损伤缝线桥固定术中进行肩峰成形手术在术后肩关节活动度、肩关节评分的改善方面与对照组无显著差异,但手术时间更长。

Objective To explore the clinical results of the arthroscopic acromioplasty in the rotator cuff repair.Methods Sixty-five patients（42 males and 23 females） to receive suture bridge repair under the arthroscopy between May 2012 and May 2014 were selected and randomly divided into an experimental group and a control group. The experimental group was given suture bridge repair with acromioplasty,while the control group underwent the suture bridge repair without acromioplasty. The timeof operation was recorded. The range of motion（ROM） of the shoulder,the UCLA shoulder scoring system（ULCA） score,American orthopedic surgeon scoring system（ASES） score,the visual analoguescale（VAS） score and Constant score were observed 3 and 12 months after the operation. Results There were no significant differences in age,sex and the affected side between the two groups. Significant differences were found between the two groups in the duration of the operation（t=-18.5,P〈0.05）.There were no significant differences in the ROM and the ULCA,ASES,VAS and constant scores ofthe shoulder 3 and 12 months after the operation. Conclusion No significant differences were found inthe ROM and the shoulder function scoring between giving acromioplasty under the arthroscopy or not.However,the operation time of undergoing acromioplasty under the arthroscopy was longer.