首页|关节镜小切口修补术联合富血小板血浆治疗肩袖损伤患者的效果分析

关节镜小切口修补术联合富血小板血浆治疗肩袖损伤患者的效果分析

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目的:探讨关节镜小切口修补联合富血小板血浆治疗肩袖损伤患者的效果。方法:选取2019年3月—2023年4月阳谷县人民医院骨外科收治的 80例肩袖损伤患者为研究对象,按照随机数字表法将患者分为对照组与研究组,每组40例。对照组采用关节镜小切口修补术治疗,研究组在对照组基础上联合富血小板血浆治疗。比较两组的临床疗效、肩关节功能、患侧肩活动度及炎症因子水平。结果:研究组治疗总有效率为 95。00%,高于对照组的 80。00%,差异有统计学意义(P<0。05)。术后 3个月,两组美国加利福尼亚大学洛杉矶分校肩关节评分系统与Constant-Murley肩关节功能评分均较术前升高,且研究组均高于对照组,差异均有统计学意义(P<0。05)。术后 1个月,研究组患侧肩外展、前屈及外旋活动度均大于对照组,差异均有统计学意义(P<0。05)。术后 3个月,两组白细胞介素-8和C反应蛋白均较术前降低,且研究组均低于对照组,差异均有统计学意义(P<0。05)。结论:在治疗肩袖损伤患者时,采用小切口联合富血小板血浆的治疗方法,近期和远期均有较好的疗效,可有效地降低患者机体的炎症因子指标,有力于患者患处肩关节功能恢复,具有较好的临床应用价值。
Effect Analysis of Small Incision Arthroscopic Repair Combined with Platelet-Rich Plasma in the Treatment of Rotator Cuff Injury
Objective:To investigate the effect of arthroscopic small incision repair combined with platelet-rich plasma in the treatment of rotator cuff injury.Methods:A total of 80 patients with rotator cuff injury admitted to the Department of Orthopedics in Yanggu County People's Hospital from March 2019 to April 2023 were selected as the study objects.According to random number table method,the patients were divided into a control group and a study group,with 40 cases in each group.The control group was treated with arthroscopic small incision repair,and the study group was treated with platelet-rich plasma on the basis of control group.The clinical efficacy,shoulder joint function,shoulder motion and inflammatory factors were compared between the two groups.Results:The total effective rate of the study group was 95.00%,which was higher than 80.00%of the control group,the difference was statistically significant(P<0.05).At 3 months after surgery,the shoulder joint scoring system of University of California Los Angeles and Constant-Murley shoulder joint function score of both groups were higher than those before surgery,and the study group was higher than the control group,with statistical significance(P<0.05).One month after surgery,the abduction,flexion and external rotation of the affected shoulder in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Three months after surgery,Interleukin-8 and C-reactive protein decreased in both groups,and the study group was lower than the control group,the differences were statistically significant(P<0.05).Conclusion:In the treatment of patients with rotator cuff injury,the treatment of small incision combined with platelet-rich plasma has good short-term and long-term efficacy,which can effectively reduce the inflammatory factor index of the patient's body and effectively restore the function of the shoulder joint in the patient's affected area,and has good clinical application value.

Rotator cuff injuryArthroscopic small incision repairPlatelet-rich plasma

孙振亚

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山东省阳谷县人民医院骨外科,山东 聊城 252300

肩袖损伤 关节镜小切口修补术 富血小板血浆

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(13)