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关节镜下无结缝线桥技术治疗冈上肌肌腱损伤 被引量:2

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摘要 目的分析关节镜下无结缝线桥技术治疗冈上肌肌腱损伤的临床疗效。方法回顾性分析自2018-08—2020-06采用关节镜下无结缝线桥技术治疗45例冈上肌肌腱损伤,比较术前与末次随访时的被动外展角度、主动外展角度、疼痛VAS评分、UCLA肩关节功能评分。结果45例均顺利完成手术并获得完整随访,随访时间7~24个月,平均13.4个月。手术时间60~110 min,平均75 min。住院时间4~15 d,平均8.1 d。未出现血肿、感染、切口延迟愈合、臂丛神经损伤、再撕裂、锚钉松动等并发症。末次随访时被动外展角度、主动外展角度、UCLA肩关节功能评分较术前提高,疼痛VAS评分较术前降低,差异有统计学意义(P<0.05)。末次随访时评价临床疗效:优11例,良29例,可5例,优良率88.9%。结论关节镜下无结缝线桥技术治疗冈上肌肌腱损伤疗效优良,操作简便,术后肩袖再撕裂率低,患者肩关节功能恢复满意,值得推广。
出处 《中国骨与关节损伤杂志》 2022年第7期743-746,共4页 Chinese Journal of Bone and Joint Injury
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