无水技术在肩关节前脱位关节镜修复术中应用研究

Application of anhydrous technique in arthroscopic repair of anterior shoulder instability

目的探讨在肩关节前脱位关节镜修复术中应用无水技术的效果。方法回顾性分析自2015年1月至2019年5月收治的行肩关节前脱位关节镜修复手术患者32例,其中,常规行肩关节镜下关节囊-盂唇复合体修复术者为常规组(n=16),无水技术下行肩关节镜下关节囊-盂唇复合体修复术者为无水组(n=16)。记录两组患者手术时间、用水量、切口长度、切口愈合率、疼痛视觉模拟评分(VAS)、住院时间,以及末次随访Rowes评分、美国加州大学肩关节评分系统(UCLA)评分。结果无水组患者手术时间明显短于常规组,术中用水量明显少于常规组,差异有统计学意义(P<0.05)。两组患者切口长度、切口愈合率、术后VAS评分、住院时间,以及末次随访UCLA评分、Rowes评分比较,差异均无统计学意义(P>0.05)。两组患者均未出现再脱位、感染、深静脉血栓等并发症。结论无水技术在肩关节前脱位关节镜修复术中应用疗效满意,在缩短手术时间、减少用水量方面具有明显优势,利于患者康复。

Objective To investigate the effect of anhydrous technique in arthroscopic repair of anterior dislocation of shoulder joint.Methods A retrospective study was performed on 32 cases of patients with arthroscopic repair of anterior dislocation of shoulder who were admitted from January 2015 to May 2019.Those who received conventional arthroscopic repair of the capsule and labrum complex under shoulder arthroscopy were in the conventional group(n=16),while those who received arthroscopic repair of the capsule and labrum complex under shoulder arthroscopy were in the anhydrous group(n=16).Operation time,water consumption,incision length,incision healing rate,visual analogue scale(VAS)of pain,length of stay,Rowes score and University of California at Los Angeles shoulder scores(UCLA)at the last follow-up were recorded.Results The operation time of patients in anhydrous group was significantly shorter than that of the conventional group,and the water consumption was significantly lower than that of the conventional group,with statistically significant differences(P<0.05).There was no significant difference in incision length,wound healing rate,postoperative VAS score,length of stay,UCLA score and Rowes score at the last follow-up between the two groups(P>0.05).No complications such as re-dislocation,infection or deep venous thrombosis occurred in the two groups.Conclusion The application of anhydrous technique in arthroscopic repair of anterior dislocation of shoulder joint is satisfactory and has obvious advantages in shortening operation time and reducing water consumption.