Bankart损伤关节镜下修复与开放性手术的临床疗效对比

To Compare the Clinical Efficacy of Bankart Injury under Arthroscopy and Open surgery

目的关节镜与开放性手术在治疗Bankart损伤中的临床应用对比分析。方法按照实际手术方案将该院2011年1月—2014年1月骨科收治的42例Bankart损伤患者分为关节镜修复组(住院期间行关节镜下手术修复治疗,n=22)和开放性手术组(住院期间行开放性手术治疗,n=20)。比较两组患者围手术期情况、术后6周和12周时肩关节功能UCLA评分及优良率。结果关节镜修复组患者手术切口、术中失血量、手术时间和住院天数分别为(1.05±0.18)cm、(8.96±3.07)m L、(32.86±10.12)min和(8.70±1.16)d均少于开放性手术组的(12.42±1.34)cm、(442.5±89.5)m L、(81.57±11.94)min和(14.92±1.43)d,差异有统计学意义(P<0.05);关节镜修复组治疗后6周和12周UCLA评分分别为(30.5±2.1)分和(32.6±2.5)分,分别高于开放性手术组的(26.6±1.7)分和(29.1±2.2)分,组间差异具有统计学意义(P<0.05);关节镜修复组术后6周和12周UCLA评分优良率分别为40.9%和81.2%,分别明显高于开放性手术组的10.0%和45.0%,差异均具有统计学意义(P<0.05)。结论在Bankart损伤手术治疗中,关节镜下修复手术相较于开放性手术具有围手术期效果理想、修复满意度高等优点,值得临床上推广应用。

Objective To compare the clinical application of arthroscopic and open surgery in the treatment of Bankart injury. Methods According to the actual operation scheme will be in our hospital from January 2011 to January 2014 in the Department of orthopedics,42 cases of Bankart injury patients for arthroscopic repair group（22 cases） and open surgery group（20 cases）,compared two groups of patients with shoulder joint function UCLA score,and the excellent and good rate. Results The arthroscopic repair group,s incision,intraoperative volume,operation time and hospitalization days were（1.05±0.18）cm,（8.96＋3.07）m L,（32.86±10.12）min and（8.70±1.16）days were less than the open surgery group（12.42±1.34）cm,（442.5±89.5）m L,（81.57±11.94）min and（14.92±1.43）days,the differences were statistically significant（P〈0.05）; arthroscopic repair groups after 6 weeks and 12 weeks,UCLA scores were（30.5±2.1）points and（32.6±2.5）points,respectively higher than the open surgery group（26.6±1.7）points and（29.1±2.2）points,a statistically significant difference between the groups（P〈0.05）; Arthroscopic repair group after 6 weeks and 12 weeks,the good rate of U-CLA score were 40.9% and 81.2% respectively,significantly higher than that of open surgery group,10% and 45%,the differences were statistically significant（P〈0.05）. Conclusion In the operation treatment of Bankart injury,compared with open surgery,arthroscopic repair surgery has the advantages of ideal effect and satisfactory degree of repair,which is worthy of clinical application.