肩袖修补术后再撕裂危险因素的研究进展

Research Progress on risk factors of retear after rotator cuff repair

肩袖再撕裂是肩袖修复术后主要的并发症,其严重影响了手术疗效。肩袖再发撕裂的影响因素包括术前年龄、糖尿病、高脂血症、症状持续时间、撕裂大小、肩袖脂肪浸润及回缩、手术方式的选择、生物制剂的应用、术后康复锻炼方案等。本文对关于肩袖修复术后再发撕裂危险因素进行了综述和分析,加深对再撕裂的认识,以期减少肩袖修补术后再次撕裂的发生,促进患者术后功能恢复和满意度。

Re-tearing is the main complications after rotator cuff repair and severely affects the effects of the operation.There are many factors that can affect the re-tear after repair,including the preoperative age,diabetes mellitus,hyperlipidemia,duration years of symptom,tear size,rotator cuff fat infiltration and retraction,the choice of suture technique,whether to use biological agents,postoperative rehabilitation exercise and other related factors.The literatures about the factors affecting rotator cuff re-tear after rotator cuff repair were reviewed and analyzed in this article to provide a reference for treatment of rotator cuff tear.