肩袖损伤开放手术与关节镜下修复的疗效对比

Comparison of open Surgery and arthroscopic repair of rotator cuff injury

目的探讨肩关节镜下肩袖修复术对肩袖损伤的治疗作用。方法收集2016年3月—2018年3月肩袖损伤患者35例,随机分组。对照组选择常规开放手术方式,观察组选择肩关节镜下肩袖修复术。分析手术操作的时间、住院恢复时间、医疗花费;治疗前后患者肩关节疼痛程度评分,肩关节前屈活动度、外旋活动度、外展活动度,ASES评分,Constant-Mueley评分以及并发症。结果观察组肩关节疼痛程度评分,肩关节前屈活动度、外旋活动度,外展活动度、ASES评分以及Constant-Mueley评分,手术操作的时间,住院恢复时间,医疗花费,并发症和对照组比较有优势(P<0.05)。结论肩袖损伤患者实施肩关节镜下肩袖修复术可获得较好效果,可有效改善肩关节功能,缓解肩关节疼痛,改善肩关节的活动度,减少并发症的发生。

Objective To investigate the therapeutic effect of rotator cuff repair under shoulder arthroscopy on rotator cuff injury. Methods A total of35 patients with rotator cuff injuries from March2016 to March2018 were randomly assigned into two groups.The control group was treated by conventional method, and the observation group was treated by shoulder arthroscopy for rotator cuff repair.The time of operation, hospitalization recovery time, medical expenses, complications, as well as the shoulder pain score, shoulder flexion activity, external rotation activity, abduction activity, ASES score, and Constant-Mueley score before and after treatment were analyzed. Results The observation group significantly improved shoulder pain score, shoulder flexion activity, external rotation activity, abduction activity, ASES score, Constant-Mueley score, time of operation, hospitalization recovery time, medical expenses, and complications compared with the control group ( P <0.05). Conclusion Shoulder arthroscopic rotator cuff repair can achieve better results for patients with rotator cuff injury, effectively improving shoulder function and shoulder mobility, as well as reducing shoulder pain and complications.