肩关节镜下单排缝合技术结合中医治疗老年肩袖损伤40例

40 Cases Clinical Observation of Arthroscopic Single Row Suture inthe Treatment of Rotator Cuff Injury in the Elderly Patients

目的:探讨肩关节镜下单排缝合技术治疗老年肩袖损伤的临床效果。方法:选取本院骨科2019年1月至2020年1月行肩关节镜下单排缝合技术治疗的40例老年肩袖损伤患者,治疗前后观察UCLA评分、ASES评分、VAS评分、Constant-Murley评分、外展、内收、上举、后伸、前屈度、肩袖撕裂再发生率。结果:行肩关节镜下单排缝合技术治疗患者ASES评分、UCLA评分、Constant-Murley评分高于术前,VAS评分低于术前,差异有统计学意义(P<0.05),且术后6个月随访未见肩袖撕裂再发生。结论:对老年肩袖损伤患者实施肩关节镜下单排缝合技术结合中医治疗效果显著,肩袖撕裂再发生率低。

Objective:To investigate the clinical efficacy of arthroscopic single row suture in the treatment of rotator cuff injury in the elderly.Methods:40 elderly patients with rotator cuff injury who underwent arthroscopic single row suture technique were selected from January 2019 to January 2020.The UCLA score,ASES score,VAS score,Constant-Murley score,abduction,adduction,lifting,extension,flexion and the recurrence rate of rotator cuff tear were observed before and after treatment.Results:The ASES score,UCLA score and Constant score were higher than those before operation,while the VAS score was lower than that before operation(P<0.05),and there was no recurrence of rotator cuff tear after 6 months of follow-up.Conclusion:The efficacy of arthroscopic single row suture in the treatment of rotator cuff injury in elderly patients is significant,and the recurrence rate of rotator cuff tear is low.