关节镜下两种缝合方案在冈上肌腱损伤患者中的应用效果对比

Comparison of the effect of arthroscopic sutures for supraspinatus tendon injuries

目的比较关节镜下两种缝合方案在冈上肌腱损伤患者中的应用效果。方法选取2015年1月-2018年4月该院收治的136例冈上肌腱损伤患者为研究对象,将患者依据1∶1比例随机分为对照组(n=68)和观察组(n=68)。对照组患者采用关节镜下单排改良Mason-Allen缝合技术修复,观察组采用关节镜下改良缝合桥技术修复。比较两组患者肩关节活动度、视觉模拟评分(VAS)、美国肩肘外科协会评分(ASES)和Constant评分。结果治疗前两组患者肩关节内旋、外旋、前屈和外展情况、静息VAS、活动VAS评分、ASES评分和Constant评分比较均无明显差异(P>0.05);治疗后两组患者的肩关节内旋、外旋、前屈和外展情况、静息VAS、活动VAS评分、ASES评分和Constant评分较治疗前均明显改善,且观察组优于对照组,差异有统计学意义(P <0.05)。结论冈上肌腱损伤患者经单排改良Mason-Allen缝合技术修复及改良缝合桥技术修复均能够有效缓解疼痛,改善肩关节活动度和功能,且改良缝合桥技术修复效果更佳。

Objective To compare the effect of two kinds of sutures under arthroscopy on patients with supraspinatus tendon injury.Methods 136 patients with suprascapal tendon injuries treated from January 2015 to April 2018 were selected.The patients were randomly divided into control group(n=68)and observation group(n=68).The control group was treated with single-row modified Mason-Allen suture under arthroscopy,and the observation group was repaired with an arthroscopic modified suture bridge technique.The shoulder joint activity,visual analogue scale(VAS)score,ASES score and Constant score were compared between the two groups.Results There was no significant difference in internal rotation,external rotation,flexion and abduction,resting VAS,activity VAS score,ASES score and Constant score between the two groups before treatment(P>0.05).Internal rotation,external rotation,flexion and abduction of shoulder joints,resting VAS,active VAS score,ASES score,and Constant score were all significantly improved before treatment,and the observation group was superior to the control group.The difference was statistically significant(P<0.05).Conclusion The repair of supraspinatus tendon injury by modified suture bridge technique can effectively relieve pain and improve shoulder motion and function.