全肩关节镜下肩袖修复术对肩袖损伤患者疼痛及肩关节活动度的影响

Effect of Arthroscopic Rotator Cuff Repair on Pain and Shoulder Joint Range of Motion in Patients with Rotator Cuff Injuries

目的:分析全肩关节镜下肩袖修复术对肩袖损伤患者疼痛及肩关节活动度的影响。方法:选取2021年2月—2024年2月南通市中医院收治的102例肩袖损伤患者,按随机数字表法分成两组,每组51例。对照组行关节镜下小切口肩袖修补术,观察组行全肩关节镜下肩袖修复术。对比两组手术效果。结果:观察组术中出血量少于对照组,手术时间长于对照组;且术后的疼痛视觉模拟评分法评分低于对照组,加州大学洛杉矶分校(UCLA)肩关节评分系统、各肩关节活动度及世界卫生组织生存质量测定量表简表内各维度评分均高于对照组,差异均有统计学意义(P<0.05);两组并发症发生率差异无统计学意义(P>0.05)。结论:全肩关节镜下肩袖修复术有创伤小、恢复快等优势,可缓解肩袖损伤患者术后疼痛,提高肩关节活动度,改善肩关节功能及生活质量,且无严重并发症。

Objective:To analyze the effect of arthroscopic rotator cuff repair on pain and shoulder joint range of motion in patients with rotator cuff injuries.Method:A total of 102 patients with rotator cuff injuries who admitted in Nantong Traditional Chinese Medicine Hospital from February 2021 to February 2024 were selected as the subjects.All cases were divided into two groups by random number table,with 51 cases in each group.The control group underwent arthroscopic small incision rotator cuff repair,while the observation group was given arthroscopic rotator cuff repair.The surgical outcomes of two groups were compared.Result:The intraoperative bleeding volume of observation group was less than that of control group,while the surgery time of observation group was longer than that of control group;the postoperative pain score of analog scale was lower than that of control group,the UCLA shoulder joint scoring system,shoulder joint range of motion,and various dimensions of the World Health Organization quality of life scale were all higher than those of the control group(P<0.05);there was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Arthroscopic rotator cuff repair has the advantages of minimal trauma and fast recovery,which can alleviate postoperative pain,improve shoulder joint range of motion,enhance shoulder joint function and quality of life in patients with rotator cuff injuries,and has no serious complications.