浙江创伤外科2024,Vol.29Issue(10) :1831-1833,1852.DOI:10.3969/j.issn.1009-7147.2024.10.009

全肩关节镜下双滑轮无结缝线桥技术对肩袖损伤患者的疗效分析

Analysis of total shoulder arthroscopic double-pulley suture bridge technique in patients with rotator cuff injury

周文辉 徐龙伟
浙江创伤外科2024,Vol.29Issue(10) :1831-1833,1852.DOI:10.3969/j.issn.1009-7147.2024.10.009

全肩关节镜下双滑轮无结缝线桥技术对肩袖损伤患者的疗效分析

Analysis of total shoulder arthroscopic double-pulley suture bridge technique in patients with rotator cuff injury

周文辉 1徐龙伟1
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作者信息

  • 1. 323000 丽水,浙江省丽水市人民医院
  • 折叠

摘要

目的 探讨全肩关节镜下双滑轮无结缝线桥技术对肩袖损伤(RCI)患者的疗效分析.方法 回顾分析 2019 年 1 月至 2024 年1 月 86 例经本院关节镜手术治疗的RCI患者资料,按手术方法不同分为传统缝线桥技术(A组 43 例),双滑轮无结缝线桥技术(B组 43 例),比较两组手术及康复相关指标.结果 两组术中出血量、手术用时及住院时间比较(P>0.05),无统计学意义;B组术后 6 月肩关节活动度、功能评分及愈合优良率A组更高(P<0.05),差异有统计学意义;B组疼痛评分及再撕裂发生率低与A组(P<0.05),差异有统计学意义.结论 全肩关节镜下双滑轮无结缝线桥技术在提高RCI患者术后肩关节功能、减少疼痛及降低再撕裂发生率方面具有显著优势,较传统缝线桥技术疗效更佳,可作为RCI优选手术方法.

Abstract

Objective To investigate the efficacy of total shoulder arthroscopic technique in patients with rotator cuff injury(RCI).Methods 86 patients with rotator cuff injury treated by arthroscopic surgery from January 2019 to January 2024 were included in this study,43 used the tradi-tional suture bridge technique(Group A),and 43 used the double pulley knotless suture bridge technique(Group B),and the surgical and rehabilita-tion related indexes were compared between the two groups.Results The intraoperative blood loss,operative time and hospital stay had no statisti-cally significant difference between the two groups(P>0.05).The postoperative shoulder mobility,shoulder function score and excellent healing rate in group B were higher than those in group A(P<0.05).The pain score and retear rate were in group A were lower than those in group B(P<0.05).Conclusion Total shoulder arthroscopic double pulley knotless suture bridge technology has significant advantages in improving postoperative shoul-der function,reducing pain and the incidence of retear in patients with rotator cuff injury.It is better effective than the traditional suture bridge tech-nology,and can be used as the preferred surgical method for rotator cuff injury.

关键词

肩袖损伤/关节镜手术/双滑轮无结缝线桥技术/活动度/关节功能

Key words

Rotator cuff injury/Arthroscopic surgery/Double bridge technique/Range of motion/Joint function

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出版年

2024
浙江创伤外科
温州医学院

浙江创伤外科

影响因子:0.884
ISSN:1009-7147
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