目的:探讨肩关节镜下应用改良Chinese-way技术治疗巨大肩袖撕裂的临床疗效。方法:自2019年1月至2022年6月采用肩关节镜下改良Chinese-way技术治疗22例巨大肩袖撕裂患者，其中男10例，女12例;年龄46～76(64。14±7。45)岁;病程5～14(8。32±2。42)个月;19例采用完全修补，3例采用部分修补。分别于术前和术后1年采用视觉模拟评分(visual analogue scale，VAS)、加州大学洛杉矶分校(University of California Los Angeles，UCLA)评分评价疼痛与肩关节功能;并观察术后并发症情况，影像学随访重建组织结构的完整性，肩峰下间隙大小。结果:22例患者获得随访，时间12～34(17。14±5。93)个月。MRI随访4例发生再撕裂(患者对功能满意，未进一步处理)外，其余均未出现切口感染、周围神经损伤、锚钉松动脱落等并发症。术前及术后1年VAS分别为(8。05±1。12)分和(1。82±1。50)分;UCLA评分分别为(7。45±1。65)分和(31。41±2。87)分，差异均有统计学意义(P＜0。05)。结论:肩关节镜下改良Chinese-way技术修补巨大肩袖撕裂，可明显缓解疼痛，改善肩关节功能，早期临床疗效满意。
Treatment of massive rotator cuff tears with modified Chinese-way technique
Objective To explore clinical effect of modified Chinese-way technique under shoulder arthroscopy in treating massive rotator cuff tears.Methods From January 2019 to June 2022,22 patients with massive rotator cuff tears who underwent arthroscopic rotator cuff repair with improved Chinese-way technique,including 10 males and 12 females,aged from 46 to 76 years old with an average of(64.14±7.45)years old;the courses of disease ranged from 5 to 14 months with an average of(8.32±2.42)months;19 patients were complete repaired,and 3 patients were partial repaired.Visual analogue scale(VAS)and University of California at Los Angeles(UCLA)scale were used to evaluate pain and function of shoulder joint preopera-tively and 1 year postoperatively.Postoperative complications,the integrity of reconstructed tissue structure and the size of sub-acromial space were observed.Results All patients were followed up from 12 to 34 months with an average of(17.14±5.93)months.Re-tear were occurred in 4 patients during MRI follow-up,but clinical symptoms of patients were improved significant-ly and they were satisfied with the treatment,the others were no complications such as incision infection,peripheral nerve in-jury,loosening and falling off of internal fixation anchors.Preoperative and 1 year after operation VAS were(8.05±1.12)and(1.82±1.50),UCLA scores were(7.45±1.65)and(31.41±2.87)respectively,and the difference was statistically significant(P＜0.05).Conclusion The modified Chinese-way technique under shoulder arthroscopy for the massive rotator cuff tear could relieve pain obviously and recovery postoperative function well,with satisfactory curative effect.
Massive rotator cuff tearsLong head of biceps tendonShoulder arthroscopy
国家科技期刊平台
NSTL
万方数据
