[1]严卫锋 曾忠友 裴斐 李奉龙△.脂肪浸润对肩袖损伤手术修复效果的影响[J].中国中医骨伤科杂志,2015,23(02):8-10.
　YAN Weifeng ZENG Zhongyou PEI Fei LI Fenglong.Effect of Fatty Infiltration In Arthroscopic Rotator Cuff Repair[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(02):8-10.
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脂肪浸润对肩袖损伤手术修复效果的影响
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年02期
页码:
8-10
栏目:
临床研究
出版日期:
2015-02-15

文章信息/Info

Title:
Effect of Fatty Infiltration In Arthroscopic Rotator Cuff Repair
文章编号:
1005-0205(2015)02-0008-03
作者:
严卫锋1 曾忠友1 裴斐1 李奉龙2△
1中国人民解放军武装警察部队浙江省总队医院骨二科 (浙江 嘉兴,314000)
2北京积水潭医院运动损伤科
△通讯作者 E-mail:long_bum@163.com Tel:13967372473
Author(s):
YAN Weifeng1 ZENG Zhongyou1 PEI Fei1 LI Fenglong2
1The second Department of Orthopaedics, Hospital of Zhejiang General Corps of Armed Police Forces, Jiaxing 314000,China
2Beijing jishuitan hospital
关键词:
肩关节;  创伤和损伤;  肩袖损伤;  脂肪浸润
Keywords:
shoulder joint;  wounds and injuries;  rotator cuff injury;  fatty infiltration
分类号:
R687.2
文献标志码:
A
摘要:
目的:探讨脂肪浸润程度对肩袖损伤手术修复效果的影响。方法:临床上随访2010年1月-2013年1月手术治疗的无明显脂肪浸润和明显脂肪浸润的大型全层肩袖损伤患者41例,按脂肪浸润程度分为无明显脂肪浸润组25例、明显脂肪浸润组16例。关节镜下双排重建修复损伤肩袖。记录并比较各组肩关节活动范围(ROM)、疼痛评分(VAS)、Constant-Murley评分、加州大学洛杉矶分校(UCLA)评分、肩关节简单(SST)评分。结果:41例患者术后获18～36个月(平均24个月)随访。术后ROM、VAS评分、Constant-Murley评分、UCLA评分、SST评分与术前比较明显改善,差异有统计学意义(P<0.05); 两组间在术后末次随访时ROM、功能评分以及疼痛等方面比较差异有统计学意义(P<0.05)。两组术后再撕裂比较差异有统计学意义(P<0.05),两组术后全层再撕裂比较差异无统计学意义(P>0.05)。结论:脂肪浸润程度对肩袖损伤手术修复效果有明显影响,在发生脂肪浸润不明显之前手术治疗效果较好。
Abstract:
Objective: To study the effect of fatty infiltration in arthroscopic rotator cuff repair. Methods: 41 patients with large rotator cuff injury were randomized into without fatty infiltration group(25 patients)and obvious fatty infiltration group(16 patients).All data were compared at the same time between the 2 groups.From January 2010 to January 2013,41 patients with large RCT were arthroscopically repaired.All the shoulders were repaired using the double row technique. The range of motion(ROM),visual analog scale(VAS)for pain,Constant-Murley score, UCLA score and SST score were recorded and compared among the 2 groups at the last follow-up. Results: 18～36 months(average,24months)follow-up showed that there were significant differences regarding the ROM,VAS,SST,UCLA and Constant-Murley scores between the 2 groups(P<0.05), and there were significant differences regarding RM,functional recovery and pain score at the last follow-up between the 2 groups(P<0.05).There were significant differences between the 2 groups in recurrence of tear(P<0.05). There were no significant differences between the 2 groups in the full-thickness re-tear(P>0.05).Conclusion: The degree of fatty infiltration was important for clinical outcome of arthroscopic rotator cuff repair, and the clinical outcome is better before the fatty infiltration become obvious.

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备注/Memo

备注/Memo:
收稿日期:2014-11-07
更新日期/Last Update: 2015-02-28