摘要
巨大肩袖撕裂指肌腱撕裂＞5 cm或涉及2根及以上肌腱的撕裂,常导致肩关节疼痛、僵硬、活动范围受限及功能减弱,对患者的生活造成严重影响.目前巨大肩袖撕裂以关节清理、肩袖修补术、补片移植物修补术等手术治疗为主,但肌腱断端回缩、手术修补后肩袖张力较高等问题,导致术后再撕裂率较高.自体肱二头肌长头腱(LHBT)作为自身组织移植物,具有取材方便、成本低等优点,已被应用于巨大肩袖撕裂的修复,但在具体术式的选择等方面尚存争议.为此,笔者就LHBT在巨大肩袖撕裂修复中应用的研究进展进行综述,为临床治疗提供参考.
Abstract
Massive rotator cuff tears,with mean tendon tears＞5 cm or involving two or more tendons in a tear,often result in shoulder pain,stiffness,limited range of motion and impaired function,significantly impacting the patients'quality of life.At present,massive rotator cuff tears are mainly treated surgically with joint cleaning,rotator cuff repair and patch graft repair,etc,but the problems such as tendon end retraction and high rotator tension after surgical repair lead to high postoperative retear rate.The autogenous long head of biceps tendon(LHBT),as an autograft which has the advantages of high accessibility and low cost,has been employed in the repair of massive rotator cuff tears.However,there is still controversy in the choice of specific surgical method.To this end,the authors reviewed the research progress on the application of LHBT in the repair of massive rotator cuff tears,aiming to provide reference for its clinical treatment.
基金项目
宁波市医疗卫生高端团队项目(2022020102)
NETL
NSTL
万方数据