关节镜下保留二头肌肌腱转位固定术治疗巨大肩袖撕裂的疗效分析

Application of reservation of biceps tendon fixation and transposition for treatment of giant rotator cuff tears

目的研究关节镜下保留二头肌肌腱转位固定术治疗巨大肩袖撕裂。方法 2014年1月—2017年5月对39例巨大肩袖撕裂患者施行保留肱二头肌长头腱的肌腱转位固定术。术前与术后6个月进行ConstantMurley肩关节评分、加利福尼亚大学洛杉矶分校(UCLA)肩关节评分。结果患者手术顺利,术前ConstantMurley肩关节评分为(28.07±7.48),UCLA肩关节评分为(17.8±2.6);术后6个月随访Constant‐Murley肩关节评分为(72.02±6.38),UCLA肩关节评分为(30.5±2.4)。术后Constant-Murley肩关节评分、UCLA肩关节评分与术前比较,差异有统计学意义(P <0.05)。术后患者疼痛缓解,未出现复发。结论关节镜下保留二头肌肌腱转位固定术治疗巨大肩袖撕裂临床效果满意。

Objective To explore the clinical efficacy of arthroscopic retention of biceps tendon fixation and transposition for treatment of giant rotator cuff tears.Methods From January 2014 to May 2017,39 patients of giant rotator cuff tears treated with arthroscopic tenodesis with biceps tendon fixation and transposition were involved in this study.Constant-Murley shoulder score and the University of California at Los Angeles(UCLA)shoulder scale were assessed in pre-operation and 3,6 months after operation.Results All patients successfully received surgical intervention.Constant-Murley shoulder score was increased significantly 6 months post-surgery when compared with that prior to surgical operation [(72.02±6.38)vs(28.07±7.48),P<0.05].UCLA shoulder scale was enhanced obviously 6 months post-surgery when compared with that prior to surgical operation [(30.5±2.4)vs(17.8±2.6),P<0.05].No recurrence of pain was founded after operation.Conclusions Arthroscopic retention of biceps tendon fixation and transposition could achieve a satisfactory efficacy in the treatment of giant rotator cuff tears.