关节镜修复肩袖损伤临床疗效分析

Clinical Analysis of arthroscope approach of rotator cuff repair

目的:探讨关节镜全镜下缝合修复肩袖损伤的适应证选择、手术技巧和临床疗效。方法:自2013年1月至2014年12月收治36例肩袖损伤患者,采用关节镜修复肩袖损伤,分别在术前及术后末次随访时采用美国肩肘医师协会评分(ASES)、Constant-Murley评分以及简易肩关节评分(SST)问卷进行功能恢复评估。结果:本组36例均获得随访,随访时间6~30个月,平均15个月。随访时,36例患者ASES评分平均术前69.8对比术后85.3(P<0.05),其中SST评分平均术前6.3对术后11.7(P<0.05),肩关节平均前屈上举为术前148°对比术后171°(P<0.05),平均外旋为术前26°对比术后43°(P<0.05),平均Constant-Murley评分为术前67.8对比术后79.6(P<0.05),术后肩关节功能较术前明显改善,其差异有统计学意义。结论:关节镜下肩袖修复手术具有损伤小、肩关节功能恢复快的特点,是治疗肩袖损伤的有效方法。

Objective:To discuss and evaluate the surgical techniques of approach of arthrosc-opic rotator cuff repair and its clinical result.Methods:From January 2013 toDecember 20 14,36 cases of rotaror cuff tear were treated by arthroscopic.Constant-Murley score and SST(sim-ple shoulder test)questionnaire were adopted before operation and at the latest follow-up.Result:All the 36 patients were available for follow-up for6 to 30months,the average follow-up period being 15 months.The pre-operation and post-operation mean ASES score was 69.8vs.85.3(P<0.05),withthemeanSST score 6.3vs.11.7(P<0.05),the mean forward flexion 171°vs.148°(P<0.05),and the mean external rotation 26°vs.43°(P<0.05).Constant-Murley score was 67.8vs.79.6(P<0.05).The function of shoulder joint greatly improvedafter operationthan before,the diffe-rnce was statistically significant.Conclusion:Arthroscopic rotator cuff repair is a successful treatment for rotator cuff tear.