由深至浅缝合技术在镜下治疗小肩袖损伤的临床应用*

Clinical application of suture technique from the deep to shallow of arthroscopic rotator cuff repair for small rotator cuff tears*

摘要:

探讨关节镜下由深至浅缝合技术治疗小肩袖损伤的临床疗效。方法?选取2014年1月-2016年6月肩关节镜下单锚钉微创手术技术修复小肩袖撕裂（肩袖撕裂口<1?cm）患者，探讨由深至浅缝合技术在镜下治疗小肩袖损伤的具体操作。共选取33例患者。其中，男14例，女19例，年龄38～75岁，平均57.2岁。采用Constant评分系统、美国加州大学肩关节评分系统（UCLA）、美国肩与肘协会评分系统（ASES）对手术前、手术后1年肩关节功能进行临床评估。结果?Constant评分从术前的（65.84±8.00）分增加至术后1年随访时的（84.73±6.24）分；UCLA肩关节评分从术前的（17.63±3.11）分增加至末次随访时的（32.40±1.97）分；ASES评分从术前的（78.80±7.02）分增加至末次随访时的（93.93±5.66）分；术前、术后比较差异均有统计学意义（P?<0.01）。结论?关节镜下由深至浅缝合技术治疗小肩袖损伤是一种简单有效的方法，是肩关节镜下缝合技术的一项创新和发展。

Abstract:

To discuss and evaluate the suture technique from the deep to shallow of arthroscopic rotator cuff repair and its clinical results.?Methods?From January 2014 to June 2016, the clinical data of 33 small tears patients treated by arthroscopic rotator cuff repair was reviewed. We discussed the specific operation in the suture technique from the deep to shallow of arthroscopic rotator cuff repair, 14 cases in men and 19 cases in women. The mean age was 57.2?(38?~?75) years old. All the tears were repaired under the arthroscope, and single metal suture anchor had been used in all the patients. Constant-Murley score, UCLA score and ASES score were adopted before operation and one year after the operation.?Results?The pre-operation and post-operation mean constant score was (65.84?±?8.00) vs (84.73?±?6.24), the mean UCLA score was (17.63?±?3.11) vs (32.40?±?1.97), the mean ASES score was (78.80?±?7.02) vs (93.93?±?5.66), there was significant differences between pre-operation and post-operation (P?