本文選題：關(guān)節(jié)鏡 + 單排縫合　； 參考：《安徽醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的：評(píng)估肩關(guān)節(jié)鏡下單排縫合技術(shù)治療肩袖損傷的效果。方法：選取安徽醫(yī)科大學(xué)第一附屬醫(yī)院骨科運(yùn)動(dòng)創(chuàng)傷與關(guān)節(jié)鏡外科2012年02月-2014年5月40例行肩關(guān)節(jié)鏡下肩袖修補(bǔ)術(shù)患者,40例均獲得術(shù)后隨訪。其中男22例,女18例,年齡37-78歲(平均年齡47歲),右側(cè)肩袖損傷29例,左側(cè)11例。根據(jù)Gerber分型,其中中小型肩袖損傷37例,巨大肩袖損傷3例。手術(shù)均采用金屬縫合錨單排縫合技術(shù)進(jìn)行肩袖修補(bǔ),采用美國(guó)肩肘醫(yī)師協(xié)會(huì)評(píng)分(ASES)、Constant-Murley以及美國(guó)加州大學(xué)UCLA肩關(guān)節(jié)功能評(píng)分標(biāo)準(zhǔn)進(jìn)行術(shù)前術(shù)后功能評(píng)估。結(jié)果：40例患者術(shù)后均獲得隨訪,隨訪時(shí)間6-31個(gè)月(平均17.3個(gè)月),ASES評(píng)分：40例患者術(shù)前平均為71.9,術(shù)后平均為93.6(P0.001),其中VAS疼痛評(píng)分術(shù)前平均為6.9,術(shù)后平均為1.7(P0.001),肩關(guān)節(jié)前屈上舉術(shù)前平均為76.4,術(shù)后平均為145.6(P0.001),外旋術(shù)前平均為24.3°,術(shù)后平均為37.8°(P0.01)。ASES評(píng)分優(yōu)良占92.5%(37/40)。Constant-Murley評(píng)分術(shù)前為67.4,術(shù)后平均為87.6, Constant-Murley評(píng)分優(yōu)良占90%(36/40)。UCLA評(píng)分術(shù)前平均為15.1,術(shù)后平均為31.2(P0.01),UCLA評(píng)分優(yōu)良占92.5%。結(jié)論：肩關(guān)節(jié)鏡下單排縫合技術(shù)治療肩袖損傷的效果較好,術(shù)中可有效的減少甚至避免血管神經(jīng)的損傷。術(shù)后創(chuàng)傷小、恢復(fù)快,與傳統(tǒng)開放手術(shù)相比患者較容易接受,且手術(shù)并發(fā)癥較少,有效的保護(hù)了維持肩關(guān)節(jié)穩(wěn)定的關(guān)節(jié)囊及肌肉等組織。
[Abstract]:Objective: To evaluate the effect of shoulder arthroscopy with single row suture in the treatment of rotator cuff injury. Methods: 40 cases of rotator cuff repair under arthroscopy in the Department of orthopedics, the First Affiliated Hospital of Medical University Of Anhui, 02 months of 2012, -2014 May, -2014 years, were followed up in 40 cases, including 22 male, 18 female and 37-78 years old (age 37-78 years old). The average age of 47 years), 29 cases of right rotator cuff injury and 11 left side, including 37 cases of small and medium rotator cuff injury and 3 cases of huge rotator cuff injury according to Gerber classification. The operation was performed with metal suture anchor single row suture technique to repair the rotator cuff, using the American shoulder and elbow association score (ASES), Constant-Murley and the UCLA shoulder function of California University in the United States. Results: 40 patients were followed up for 6-31 months (an average of 17.3 months), ASES score was 71.9 before operation and 93.6 (P0.001) after operation, of which the average VAS pain score was 6.9 before operation, the average after operation was 1.7 (P0.001), and the average before the shoulder flexion. For 76.4, the average after operation was 145.6 (P0.001), the average before the external rotation was 24.3 degrees, the average after the operation was 37.8 (P0.01).ASES, 92.5% (37/40).Constant-Murley score was 67.4, the average after the operation was 87.6, the Constant-Murley score was 90% (36/40).UCLA score before the operation, and the average was 31.2 (P0.01) after the operation, and the UCLA score was excellent. 92.5%. conclusion: shoulder arthroscopy single row suture technique is effective in the treatment of rotator cuff injury. It can effectively reduce and even avoid vascular nerve injury during the operation. The postoperative trauma is small, and the recovery is fast. Compared with the traditional open operation, the patient is easier to accept, and the surgical complications are less. It protects the stable joint capsule and muscle of the shoulder joint. Meat and other tissues.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R687.4

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本文編號(hào)：2016150