部分肩袖撕裂治疗现状

Current status of treatment for partial-thickness rotator cuff tear

部分肩袖撕裂(PTRCT)是肩部常见的疾病,随着生物医疗科技的不断进步,PTRCT的治疗方式也在不断进步,但是最佳的治疗方式尚未达成共识。保守治疗适用于所有PTRCT患者且具有良好的临床疗效,被提倡为PTRCT第一治疗方案。关节镜下清理术具有良好的临床效果,肩峰成形术需要依据肩峰形态而判断是否可行。全层修复术和原位修复术对PTRCT患者各具优缺点,但都取得了满意的临床效果。新颖的生物治疗技术如肩袖补片或支架、富血小板血浆、干细胞技术和各种生物因子近年不断被发掘,未来可能会辅助保守治疗和手术治疗取得更加良好的临床疗效。本文综述了PTRCT患者的保守治疗、手术治疗以及生物治疗方法,以期为临床治疗PTRCT提供参考。

Partial-thickness rotator cuff tear(PTRCT)are common diseases of the shoulder.With the continuous progress of biomedical technology,the treatment method of PTRCT is also improving,but the best treatment method has not yet reached a consensus.Conservative treatment is suitable for all PTRCT patients and has good clinical efficacy,and is advocated as the first treatment plan for PTRCT.Arthroscopic debridement has a good clinical effect,and acromioplasty is performed according to the shape of the acromion.Complete repair and in-situ remediation technology of PTRCT have their own advantages and disadvantages,but both have achieved satisfactory clinical effect.Novel biological treatment technologies such as rotator cuff patch or scaffold,platelet-rich plasma,stem cell technology and various biological factors have been continuously discovered in recent years.In the future,they may assist conservative treatment and surgical treatment to achieve better clinical effect.This article reviews the conservative treatment,surgical treatment and biological treatment methods of patients with PTRCT,in order to provide reference for clinical treatment of PTRCT.