[1]谢志恒,林伟,邱俊钦△,等.冈上肌腱内撕裂在关节镜下转化为全层撕裂后修补的短期临床疗效[J].中国中医骨伤科杂志,2022,30(01):39-44.
　XIE Zhiheng,LIN Wei,QIU Junqin,et al.Short-Term Clinical Study of Intra-Tendinous Tear of Supraspinatus Transformed to a Full-Thickness Tear Repair under Arthroscopic[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(01):39-44.
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冈上肌腱内撕裂在关节镜下转化为全层撕裂后修补的短期临床疗效()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年01期
页码:
39-44
栏目:
临床研究
出版日期:
2022-01-15

文章信息/Info

Title:
Short-Term Clinical Study of Intra-Tendinous Tear of Supraspinatus Transformed to a Full-Thickness Tear Repair under Arthroscopic
文章编号:
1005-0205(2022)01-0039-06
作者:
谢志恒1; 2; 林伟1; 邱俊钦1△; 林任1
1厦门大学附属福州第二医院(福州,350007) 2福建中医药大学
Author(s):
XIE Zhiheng1; 2; LIN Wei1; QIU Junqin1△; LIN Ren1
1Fuzhou Second Hospital Affiliated to Xiamen University,Fuzhou 350007,China; 2Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China.
关键词:
冈上肌;  腱内撕裂;  全层撕裂;  关节镜;  修补
Keywords:
supraspinatus;  intra-tendinous tear;  full-thickness tear;  arthroscopic;  repair
分类号:
R686.1
文献标志码:
A
摘要:
目的:评估冈上肌腱内撕裂在关节镜下转化为全层撕裂后修补的短期临床疗效。方法:选取2017年1月至2020年12月确诊为冈上肌腱内撕裂并在关节镜下将冈上肌腱内撕裂转化为全层撕裂后修补的患者22例,年龄41～60岁,平均(51.6±1.1)岁; 男10例,女12例。分别比较术前及术后第3、6、12个月随访结果,采用视觉模拟疼痛评分法(VAS)、Constant-Murley评分(CMS)及美国加州大学肩关节评分(UCLA)评估患肩功能。结果:所有患者在末次随访中疼痛几乎消失,所有的患者肩关节活动度得到了明显的改善,术后无感染发生。术后复查肩关节MRI,22例患者无一例出现肩袖再次撕裂及肩关节僵硬等情况。VAS疼痛评分由术前的(5.727±0.827)分减少至末次随访的(0.964±0.640)分,术前与末次随访比较,差异有统计学意义(t=472.732,P<0.001)。CMS评分由术前的(46.682±5.367)分提高至末次随访的(91.182±2.239)分,术前与末次随访比较,差异有统计学意义(t=1 029.389,P<0.001)。UCLA评分由术前的(13.318±1.323)分提高至末次随访的(31.591±1.817)分,术前与末次随访比较,差异有统计学意义(t=766.769,P<0.001)。术后定期复查MRI,患者肩袖没有再次撕裂的影像学征象。同时,没有发现患者出现肩关节僵硬或者感染的事件。结论:关节镜下将冈上肌腱内撕裂转化为全层撕裂修补后均可获得满意的临床疗效,患者术后肩部疼痛和关节活动度明显改善,值得推广应用。
Abstract:
Objective:To evaluate the short-term clinical efficacy of arthroscopic rotator cuff repair of intra-tendinous tear of supraspinatus transformed to a full-thickness tear.Methods:22 patients with intra-tendinous tear of supraspinatus treated with shoulder arthroscopic by transforming to full-thickness tear from 2017 to 2020 were selected,which including 10 males and 12 females,with an average age of(51.6±1.1)years old(41 to 60 years old).VAS,Constant-Murley scores and UCLA were compared before operation and at 3 months,6 months,12 months after operation to evaluated the affected shoulder function.Results:The pain were disappeared almost in all the patients at the last follow-up.The shoulder joint activity of all patients was significantly improved after the operation,and no infection occurred.The MRI results showed that there was no patient had rotator cuff tear again and shoulder joint stiffness.VAS score decreased from(5.727±0.827)before operation to(0.964±0.640)at the last follow-up,and it had significant difference(t=472.732,P<0.001).CMS increased from(46.682±5.367)before the operation to(91.182±2.239)at the last follow-up,and it has significant difference(t=1 029.389,P<0.001).UCLA score increased from(13.318±1.323)before the operation to(31.591±1.817)at the last follow-up,and it has significant difference(t=766.769,P<0.001).MRI films were taken regularly after the operation,and no imaging signs showed that rotator cuff tear again occurred.At the same time,no events of shoulder joint stiffness or infection were noted in our patient.Conclusion:Clinical efficacy of arthroscopic rotator cuff repair of intra-tendinous tear of supraspinatus transformed to a full-thickness is satisfactory.The shoulder pain and joint activity get the improvement obviously,which can be an ideal clinical method and is worthy for popularization.

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备注/Memo

备注/Memo:
基金项目:福建省创伤骨科急救与康复临床医学研究中心项目(2021)
△通信作者 E-mail:shengqiu0313047@aliyun.com
更新日期/Last Update: 2022-01-18