首页|关节镜下小切口手术与全肩关节镜手术治疗肩袖损伤的效果比较

关节镜下小切口手术与全肩关节镜手术治疗肩袖损伤的效果比较

Comparison of the effects of arthroscopic small incision surgery and total shoulder arthroscopic surgery in the treatment of rotator cuff injury

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目的 比较关节镜下小切口手术与全肩关节镜手术治疗肩袖损伤的效果.方法 回顾性分析我院2018年1月至2022年12月收治的60 例肩袖损伤患者的临床资料,根据不同治疗方法将其分为对照组和研究组,各30 例.对照组接受全肩关节镜手术治疗,研究组接受关节镜下小切口手术治疗.比较两组的治疗效果.结果 两组的手术时间无明显差异(P>0.05);研究组的术中出血量少于对照组,切口长度及住院时间短于对照组(P<0.05).研究组的治疗总有效率为93.33%,高于对照组的 73.33%(P<0.05).治疗后,研究组的C-反应蛋白(CRP)水平低于对照组,肩峰-肱骨头间距(A-H)、肱骨头上移系数(UMI)高于对照组(P<0.05).治疗后,研究组的前屈、外展、中立位外旋活动范围大于对照组,肩关节Constant评分高于对照组(P<0.05).结论 相比较全肩关节镜手术,关节镜下小切口手术治疗肩袖损伤能获得更好的手术效果,且更利于促进肩关节功能恢复,值得临床推广及应用.
Objective To compare the effect of arthroscopic small incision surgery and total shoulder arthroscopic surgery in the treatment of rotator cuff injury.Methods The clinical data of 60 patients with rotator cuff injury admitted in our hospital from January 2018 to December 2022 were retrospectively analyzed.According to different treatment methods,the patients were divided into control group and study group,with 30 cases in each group.The control group received total shoulder arthroscopic surgery,and the study group received arthroscopic small incision surgery.The therapeutic effects of the two groups were compared.Results There was no significant difference in the operation time between the two groups(P>0.05);the intraoperative blood loss in the study group was less than that in the control group,and the incision length and hospitalization time were shorter than those in the control group(P<0.05).The total effective rate of treatment in the study group was 93.33%,which was higher than 73.33%in the control group(P<0.05).After treatment,the level of C-reactive protein(CRP)in the study group was lower than that in the control group,and the acromion-humeral head distance(A-H)and the upward migration index(UMI)were higher than those in the control group(P<0.05).After treatment,the ranges of motion of flexion,abduction and neutral external rotation in the study group were larger than those in the control group,and the Constant score of shoulder joint was higher than that in the control group(P<0.05).Conclusion Compared with total shoulder arthroscopic surgery,arthroscopic small incision surgery for rotator cuff injury can obtain better surgical effect,and is more conducive to promoting the recovery of shoulder joint function,it is worthy of clinical promotion and application.

rotator cuff injuryarthroscopic small incision surgerytotal shoulder arthroscopic surgeryshoulder joint function

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柳州市工人医院,广西 柳州,545000

肩袖损伤 关节镜下小切口手术 全肩关节镜手术 肩关节功能

广西卫生健康委自筹经费科研课题

Z20201453

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(17)