体外冲击波联合关节镜下单排缝合技术治疗中小型肩袖损伤的效果观察

Observation of the Effect of Extracorporeal Shock Wave Combined with Single Row Suture Under Arthroscopy in the Treatment of Small and Medium Rotator Cuff Injury

目的探讨体外冲击波联合关节镜下单排缝合技术治疗中小型肩袖损伤的临床效果。方法选择2020年4月—2022年4月158例中小型肩袖损伤,根据治疗方法的不同均分为研究组和对照组,对照组采用体外冲击波治疗,研究组在对照组基础上联合关节镜下单排缝合技术治疗。比较2组临床疗效,治疗前后肩关节活动度(ROM)、肩关节恢复情况、肩关节疼痛程度与肩关节功能。结果研究组总有效率为96.20%高于对照组的86.08%(P<0.05)。治疗后,2组肩关节外旋、内旋、外展ROM及美国加州大学肩关节量表评分均升高,且研究组更高(P<0.01)。治疗后,2组视觉模拟评分法评分均降低,且研究组更低(P<0.01)。治疗后,2组Constant评分、美国肩肘外科协会评分均升高,且研究组更高(P<0.01)。结论体外冲击波联合关节镜下单排缝合技术治疗中小型肩袖损伤效果确切,并可改善患者肩关节功能,减轻肩关节疼痛程度,促进肩关节恢复。

Objective To investigate the clinical effect of extracorporeal shock wave combined with single row suture under arthroscopy in the treatment of small and medium rotator cuff injury.Methods In total,158 cases of small and medium rotator cuff injury from April 2020 to April 2022 were selected and divided into research group and control group according to different treatment methods.The control group was treated with extracorporeal shock wave therapy,and the research group was treated with single row suture under arthroscopy based on the control group.The clinical effects of the two groups were compared,including range of motion(ROM)of the shoulder,shoulder joint recovery,shoulder joint pain degree and shoulder joint function before and after treatment.Results The total effective rate of the research group was 96.20%,which was higher than that of the control group(86.08%)(P<0.05).After treatment,the scores of external rotation,internal rotation,abduction ROM and University of California at Los Angeles Shoulder Scale(UCLASS)were increased in the two groups,which were higher in the research group(P<0.01).After treatment,the score of visual analogue score(VAS)was lower in both groups,and lower in the research group(P<0.01).After treatment,Constant score and American Association for Shoulder and Elbow Surgery score were increased in the two groups,which were higher in the research group(P<0.01).Conclusion Extracorporeal shock wave combined with single row suture under arthroscope is effective in the treatment of small and medium rotator cuff injury,which can improve shoulder joint function,reduce shoulder pain and promote shoulder joint recovery.