首页|关节镜下肱二头肌长头腱改道转位用于巨大肩袖损伤治疗中的效果研究

关节镜下肱二头肌长头腱改道转位用于巨大肩袖损伤治疗中的效果研究

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目的 探讨关节镜下肱二头肌长头腱改道转位用于巨大肩袖损伤治疗中的效果.方法 简单随机选取2021年1月—2023年1月福建医科大学附属龙岩第一医院收治的30例巨大肩袖损伤患者为研究对象,均采取关节镜下肱二头肌长头腱改道转位治疗,术后随访12个月,比较治疗前后患者的关节活动度、疼痛视觉模拟评分法(Visual Analogue Scale,VAS)评分、肩关节功能、生活质量及并发症发生情况.结果 治疗后12个月,患者肩关节活动度优于治疗前,差异有统计学意义(P<0.05).治疗后12个月,患者VAS评分(2.51±0.41)分,低于治疗前的(6.72±0.73)分,差异有统计学意义(t=27.541,P<0.001).治疗后12个月,患者美国肩肘关节外科协会评分系统(American Shoulder and Elbow Surgeons,ASES)量表中肩肘关节疼痛、肩肘关节稳定性、肩肘关节功能评分均高于治疗前,差异有统计学意义(P均<0.05);治疗后12个月,患者生活质量评分低于治疗前,差异有统计学意义(P<0.05).术后随访12个月,采取关节镜下肱二头肌长头腱改道转位治疗的30例巨大肩袖损伤患者均未发生严重并发症.结论 关节镜下肱二头肌长头腱改道转位用于巨大肩袖损伤治疗中效果满意,可减轻疼痛感,有益于术后肩关节功能、肩关节活动度恢复,安全性较高.
Study on the Effect of Arthroscopic Diversion and Transposition of the Long Head Tendon of the Biceps Brachii Muscle in the Treatment of Giant Rotator Cuff Injuries
Objective To investigate the effect of arthroscopic transposition of long head tendon of biceps brachii in the treatment of huge rotator cuff injury.Methods Thirty patients with huge rotator cuff injury admitted to Longyan First Hospital Affiliated to Fujian Medical University from January 2021 to January 2023 were simple randomly se-lected as the study objects.All of them were treated with arthroscopic diversion and transposition of the long head ten-don of the biceps and were followed up for 12 months after surgery.The patients'joint motion,Visual Analogue Scale(VAS)score,shoulder joint function,quality of life and complications were compared before and after treatment.Re-sults At 12 months after treatment,the patient's shoulder joint motion was better than before treatment,the difference was statistically significant(P<0.05).At 12 months after treatment,the VAS score of patients was(2.51±0.41)points,which was lower than that before treatment(6.72±0.73)points,and the difference was statistically significant(t=27.541,P<0.001).At 12 months after treatment,the pain,stability and function scores of the shoulder and elbow joint in the American Shoulder and Elbow Surgeons(ASES)scale were higher than before treatment,the differences were statistically significant(all P<0.05).At 12 months after treatment,the quality of life score was higher than before treat-ment,and the difference was statistically significant(P<0.05).After 12 months of follow-up,no serious complications occurred in 30 patients with huge rotator cuff injury treated by arthroscopic diversion of the long head tendon of bi-ceps brachii.Conclusion Arthroscopic transposition of long head tendon of biceps brachii is effective in the treatment of huge rotator cuff injury,which can reduce pain,benefit the recovery of shoulder joint function and shoulder joint ac-tivity after operation,and has high safety.

Arthroscopic diversion and transposition of the long head tendon of the biceps brachii muscleGiant rotator cuff injuryShoulder joint functionShoulder joint range of motionMild pain sensation

李瑛、王强、占鹏、陈东风

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福建医科大学附属龙岩第一医院骨关节运动医学科,福建 龙岩 364000

关节镜下肱二头肌长头腱改道转位 巨大肩袖损伤 肩关节功能 肩关节活动度 轻疼痛感

龙岩市科技局联合资金项目

2022LYF17019

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(24)