两种不同术式修复肱二头肌长头肌腱自发性断裂的疗效分析

An analysis of the curative effect of two different operation methods in repairing the spontaneous rupture of long head tendon of biceps brachii

目的对比分析同种异体肌腱移植修复重建肱二头肌长头肌腱并喙突止点重建术与带线锚钉低位腱固定术的临床疗效。方法20例患者随机分为两组,分别接受喙突止点重建术与低位腱固定术,比较两组术前、术后及两组间的肩关节Constant-Murley评分、ASES评分、VAS评分。结果20例患者均获随访,平均随访时间(10.0±8.5)个月。末次随访时,每组术后肩关节Constant-Murley评分、ASES评分、VAS评分较术前差异均有统计学意义(P<0.05);两组间肩关节Constant-Murley评分、ASES评分差异有统计学意义(P<0.05),而VAS评分差异无统计学意义(P>0.05)。结论从长期可见,同种异体肌腱移植修复肱二头肌长头肌腱并喙突止点重建术较带线锚钉低位腱固定术更有优势,是治疗肱二头肌长头肌腱自发性断裂有效的方法。

Objective To explore the clinical effects of reconstruction between long head tendon of biceps brachii and coracoid process insertion reconstruction and low tendon fixation.Methods Twenty patients were randomly divided into two groups:coracoid process insertion reconstruction and low tendon fixation,respectively.The Constant-Murley score,ASES score and VAS score of shoulder joint in the same group before and after operation were compared.At the same time,the Constant-Murley score,ASES score and VAS score of shoulder joint were compared between the two groups after operation.Results All the 20 patients were followed up for an average of(10.0±8.5)months.There was significant differences in Constant-Murley score,ASES score and VAS score between the pre-operation postoperation in the same group(P<0.05).At the last follow-up,there was significant difference in shoulder Constant-Murley score and ASES score between the two groups(P<0.05),and no significant difference in VAS score between the two groups(P>0.05).Conclusion In the longterm,the reconstruction of long head tendon of biceps brachii and coracoid process insertion reconstruction with allogeneic tendon transplantation has more advantages than low tendon fixation with thread anchor,which is an effective method for the treatment of long head tendon of biceps brachii.