肩关节镜下单排与双排缝合桥修复技术在肩袖损伤中的应用

Application of Single Row and Double Row Suture Bridge Repair Techniques under Shoulder Arthroscopy in Shoulder Rotator Cuff Injury

目的:分析肩关节镜下单排与双排缝合桥修复技术在肩袖损伤中的应用。方法:回顾性选取2021年1月—2023年1月蚌埠医学院第二附属医院骨科收治的120例肩袖损伤患者。根据手术方法的不同将其分为双排组和单排组,各60例。单排组给予单排缝合修复技术,双排组给予双排缝合桥修复技术。比较两组术前及术后1年肩关节情况、疼痛情况、肩关节功能,再撕裂率、再手术率、满意度。结果:术后1年,两组Constant评分升高,双排组Constant评分高于单排组,差异有统计学意义(P<0.05)。两组术后1年UCLA评分、术后3 d视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05)。双排组再撕裂率、再手术率均低于单排组,总满意度高于单排组,差异有统计学意义(P<0.05)。结论:对肩袖损伤患者实施肩关节镜下双排缝合桥修复技术相较于单排缝合修复技术的临床效果更佳,再撕裂率及再手术率明显更低。

Objective:To analyze the application of single row and double row suture bridge repair techniques under shoulder arthroscopy in shoulder rotator cuff injury.Method:A total of 120 patients with shoulder rotator cuff injury admitted to the Department of Orthopedics in the Second Affiliated Hospital of Bengbu Medical College from January 2021 to January 2023 were retrospectively selected.According to the different surgical methods,the patients were divided into double row group and single row group,60 cases in each groups.The single row group was given the single row suture repair technique,and the double row group was given the double row suture bridge repair technique.Preoperative and one year after surgery shoulder joint,pain condition,shoulder joint function,retear rate,reoperation rate and satisfaction were compared between the two groups.Result:At one year after surgery,the Constant score of the two groups increased,and the Constant score of the double row group was higher than that of the single row group,the differences were statistically significant(P<0.05).There were no significant difference in UCLA score at one year after surgery and visual analogue score(VAS)score at 3 d after surgery between the two groups(P>0.05).The rate of retear and reoperation in double row group was lower than that in single row group,and the total satisfaction rate was higher than that in single row group,the differences were statistically significant(P<0.05).Conclusion:Compared with single row suture repair techniques,double row suture bridge repair techniques under shoulder arthroscopy in patients with shoulder rotator cuff injury has a better clinical effect,and the rate of retear and reoperation is significantly lower.