[1]李立群,宋建东,陈佳伟,等.改良小切口肩袖缝合治疗高龄患者肩袖损伤23例[J].中国中医骨伤科杂志,2023,31(09):54-57.[doi:10.20085/j.cnki.issn1005-0205.230910 ]
　LI Liqun,SONG Jiandong,CHEN Jiawei,et al.23 Cases of Clinical Study on Modified Small Incision Rotator Cuff Suture on the Treatment of Elderly Patients with Rotator Cuff Injury[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(09):54-57.[doi:10.20085/j.cnki.issn1005-0205.230910 ]
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改良小切口肩袖缝合治疗高龄患者肩袖损伤23例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年09期
页码:
54-57
栏目:
临床报道
出版日期:
2023-09-15

文章信息/Info

Title:
23 Cases of Clinical Study on Modified Small Incision Rotator Cuff Suture on the Treatment of Elderly Patients with Rotator Cuff Injury
文章编号:
1005-0205(2023)09-0054-04
作者:
李立群1; 宋建东1; 陈佳伟1; 罗鹏1△
1湖北省中西医结合医院(武汉,430015)
Author(s):
LI Liqun1; SONG Jiandong1; CHEN Jiawei1; LUO Peng1△
1Department of Orthopaedics,Hubei Provincial Hospital of Integrated Chinese & Western Medicine,Wuhan 430015,China.
关键词:
肩袖损伤;  高龄患者;  小切口肩袖缝合
Keywords:
rotator cuff injury;  elderly patients;  small incision rotator cuff suture
分类号:
R685
DOI:
10.20085/j.cnki.issn1005-0205.230910
文献标志码:
B
摘要:
目的:探讨改良小切口肩袖缝合治疗高龄患者肩袖损伤的优点与疗效。方法:选取2018年5月至2020年5月收治的80岁以上高龄患者肩袖损伤病例共23例,其中男9例,女14例。所有患者均为单侧肩袖损伤,均采用改良小切口肩袖缝合治疗,同时比较患者术前与术后6周、术后3个月及末次随访时美国肩肘外科医师学会(American Shoulder and Elbow Surgeons,ASES)评分和Constant评分来评估患者肩关节症状及功能改善情况。结果:术后所有患者均随访12～18个月,平均为13个月。术后6周、术后3个月及末次随访时ASES评分和Constant评分均较术前有明显改善。结论:改良小切口肩袖缝合治疗高龄患者肩袖损伤,具有显露清楚、手术时间短、术中无须控制性降压的优点,减少脑血管意外事件的发生,术中无需专门的关节镜设备,操作简单,疗效确切,便于推广应用。
Abstract:
Objective:To explore the advantages and efficacy of modified small incision rotator cuff suture on the treatment of elderly patients with rotator cuff injury.Methods:A total of 23 patients with rotator cuff injury over 80 years old were selected,including 9 male patients and 14 female patients,from May 2018 to May 2020.All patients had unilateral rotator cuff injury and were treated with modified small incision rotator cuff suture.The American shoulder and elbow surgeons(ASES)score and Constant score were used to evaluate the improvement of shoulder joint symptoms and function before operation,6 weeks after operation,3 months after operation and at the last follow-up.Results:All patients were followed up for 1218 months,with an average of 13 months.The ASES and Constant scores were significantly improved at 6 weeks,3 months and the last follow-up.Conclusion:The modified small incision rotator cuff suture on the treatment of elderly patients with rotator cuff injury has the advantages of clear exposure,short operation time,no need for controlled hypotension during operation,reduce the occurrence of cerebrovascular accidents,and no special arthroscopic equipment.The operation is simple,the curative efficacy is exact,and it is easy to be popularized and used.

参考文献/References:

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备注/Memo

备注/Memo:
△通信作者 E-mail:luo_p93@163.com
更新日期/Last Update: 2023-09-01