临床误诊误治2023,Vol.36Issue(10) :101-105.DOI:10.3969/j.issn.1002-3429.2023.10.022

体外冲击波联合关节镜下单排缝合技术治疗中小型肩袖损伤的效果观察

Observation of the Effect of Extracorporeal Shock Wave Combined with Single Row Suture Under Arthroscopy in the Treatment of Small and Medi-um Rotator Cuff Injury

尚文强 沈家亮 赵弯弯 潘云 牛志强 杨辉
临床误诊误治2023,Vol.36Issue(10) :101-105.DOI:10.3969/j.issn.1002-3429.2023.10.022

体外冲击波联合关节镜下单排缝合技术治疗中小型肩袖损伤的效果观察

Observation of the Effect of Extracorporeal Shock Wave Combined with Single Row Suture Under Arthroscopy in the Treatment of Small and Medi-um Rotator Cuff Injury

尚文强 1沈家亮 1赵弯弯 2潘云 3牛志强 1杨辉1
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作者信息

  • 1. 056200 河北邯郸,华北医疗健康集团峰峰总医院骨科
  • 2. 056200 河北邯郸,华北医疗健康集团峰峰总医院肾内科
  • 3. 057150 河北邯郸,邯郸市中心医院重症医学科
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摘要

目的 探讨体外冲击波联合关节镜下单排缝合技术治疗中小型肩袖损伤的临床效果.方法 选择2020 年4 月—2022 年4 月158 例中小型肩袖损伤,根据治疗方法的不同均分为研究组和对照组,对照组采用体外冲击波治疗,研究组在对照组基础上联合关节镜下单排缝合技术治疗.比较 2 组临床疗效,治疗前后肩关节活动度(ROM)、肩关节恢复情况、肩关节疼痛程度与肩关节功能.结果 研究组总有效率为96.20%高于对照组的86.08%(P<0.05).治疗后,2 组肩关节外旋、内旋、外展ROM及美国加州大学肩关节量表评分均升高,且研究组更高(P<0.01).治疗后,2 组视觉模拟评分法评分均降低,且研究组更低(P<0.01).治疗后,2 组Constant评分、美国肩肘外科协会评分均升高,且研究组更高(P<0.01).结论 体外冲击波联合关节镜下单排缝合技术治疗中小型肩袖损伤效果确切,并可改善患者肩关节功能,减轻肩关节疼痛程度,促进肩关节恢复.

Abstract

Objective To investigate the clinical effect of extracorporeal shock wave combined with single row suture under arthroscopy in the treatment of small and medium rotator cuff injury.Methods In total,158 cases of small and medi-um rotator cuff injury from April 2020 to April 2022 were selected and divided into research group and control group according to different treatment methods.The control group was treated with extracorporeal shock wave therapy,and the research group was treated with single row suture under arthroscopy based on the control group.The clinical effects of the two groups were compared,including range of motion(ROM)of the shoulder,shoulder joint recovery,shoulder joint pain degree and shoulder joint function before and after treatment.Results The total effective rate of the research group was 96.20%,which was high-er than that of the control group(86.08%)(P<0.05).After treatment,the scores of external rotation,internal rotation,abduction ROM and University of California at Los Angeles Shoulder Scale(UCLASS)were increased in the two groups,which were higher in the research group(P<0.01).After treatment,the score of visual analogue score(VAS)was lower in both groups,and lower in the research group(P<0.01).After treatment,Constant score and American Association for Shoulder and Elbow Surgery score were increased in the two groups,which were higher in the research group(P<0.01).Conclusion Extracorporeal shock wave combined with single row suture under arthroscope is effective in the treatment of small and medium rotator cuff injury,which can improve shoulder joint function,reduce shoulder pain and promote shoulder joint recovery.

关键词

肩袖损伤/中小型/体外冲击波/关节镜下单排缝合技术/肩关节活动度/视觉模拟评分法评分/肩关节功能/肩关节恢复

Key words

Rotator cuff injury/Small and medium/Extracorporeal shock wave/Single row suture technique under arthroscope/Range of motion of the shoulder/Visual analogue scale score/Shoulder joint function/Shoulder joint recovery

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基金项目

邯郸市科学技术研究与发展计划项目(19422083046ZC)

出版年

2023
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
参考文献量22
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