首页|单排再改良Mason-Allen术与双排缝合桥术治疗中型肩袖损伤的临床效果

单排再改良Mason-Allen术与双排缝合桥术治疗中型肩袖损伤的临床效果

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目的 比较肩关节镜下单排再改良Mason-Allen术与双排缝合桥术治疗中型肩袖损伤的临床效果.方法 回顾性分析2021年2月至2022年6月期间连云港市第一人民医院收治的48例行关节镜手术治疗中型肩袖损伤患者的临床资料.根据所采用的治疗方式分为2组:单排再改良组(25例)和双排缝合桥组(23例).采用美国肩肘外科协会评分(ASES)、Con-stant-Murley评分、视觉模拟评分(VAS)以及肩关节活动度评分(前屈、外展、内旋、外旋)对2组患者的肩关节功能恢复情况进行比较.结果 48例患者术后均获得随访,时间为6~24个月.2组间术前和末次随访ASES、Constant-Murley、VAS评分和肩关节活动度(前屈、外展、内旋、外旋)评分比较,差异均无统计学意义(P>0.05);组内比较:末次随访ASES、Constant-Murley评分和肩关节活动度(前屈、外展、内旋、外旋)评分明显高于术前,VAS评分低于术前,差异有统计学意义(P<0.05);两种手术方式均显著改善肩关节功能.结论 对于中型肩袖损伤,单排再改良Mason-Allen术与双排缝合桥术均显著有效,强调了选择适合患者具体情况的手术方法的重要性.这一策略将有助于优化术后恢复,提升患者生活质量.
Clinical effect of single-row re-modified Mason-Allen procedure versus double-row suture bridge in the treatment of medium-sized rotator cuff injuries
Objective To compare the clinical effects of shoulder arthroscopic single-row re-modified Mason-Allen procedure and double-row suture bridge procedure for the treatment of medium-sized rotator cuff injury.Methods The clinical data of 48 pa-tients with medium rotator cuff injury undergoing arthroscopic surgery treated in Lianyungang First People's Hospital from February 2021 to June 2022 were retrospectively analyzed.The patients were divided into 2 groups according to the treatment methods:single row re-modified group(25 patients)and double row suture bridge group(23 patients).The functional recovery of shoulder joint be-tween the two groups was compared by the American Society for Shoulder-to-elbow Surgery(ASES),Constant-Murley scores,visual an-alogue scores(VAS)and shoulder range of motion scores(anterior flexion,abduction,internal rotation,external rotation).Results All 48 patients were followed up for 6-24 months.There were no significant differences in the scores of ASES,Constant-Murley,VAS and shoulder motion(anterior flexion,abduction,internal rotation and external rotation)between the two groups before and at the last follow-up(P>0.05).The ASES,Constant-Murley scores and shoulder mo-tion(anterior flexion,abduction,internal rotation and external rota-tion)scores in the single-row re-modified group and the double row suture bridge group were significantly higher than those before sur-gery at the last follow-up,and the VAS scores were lower than those before surgery,with statistical significance(P<0.05).Both proce-dures significantly improved shoulder joint function.Conclusion For medium-sized rotator cuff injuries,both single-row re-modi-fied Mason-Allen and double-row suture bridge procedures are significantly effective,emphasizing the importance of choosing a surgi-cal approach that is appropriate for the patient's specific situation.This strategy will help to optimize postoperative recovery and im-prove patient quality of life.

further modified Mason-Allen methodsuture bridgesuture techniquearthroscopyrotator cufftear

赵伟、马胜山、孙阳、李贺、武栋泽、李小飞

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121000 锦州,锦州医科大学研究生培养基地(连云港市第一人民医院)

222002 连云港,连云港市第一人民医院/徐州医科大学附属连云港医院/南京医科大学康达学院第一附属医院骨科

改良Mason-Allen法 缝合桥 缝合技术 关节镜 肩袖损伤

2024

医学研究生学报
南京军区南京总医院

医学研究生学报

CSTPCD北大核心
影响因子:1.652
ISSN:1008-8199
年,卷(期):2024.37(7)