关节镜下双锁定环技术缝合治疗肩袖撕裂的疗效分析

Effect analysis of arthroscopic double locking stitch technique suture in treatment of rotator cuff tear

摘要:

目的 探讨关节镜下双锁定环技术缝合治疗肩袖撕裂的临床疗效。方法 回顾性分析该院骨科2019年7月－2020年4月收治的11例肩袖撕裂患者的临床资料，均采用关节镜下双锁定环技术缝合肩袖。其中，男4例，女7例，年龄43～61岁，平均51岁，所有患者术前术后均采用美国肩肘外科协会（ASES）评分及Constant-Murley肩关节功能评分进行评估。结果 所有患者随访3～12个月，平均6.2个月，术后均无切口感染及深静脉血栓等肩关节功能手术并发症，ASES评分由术前的（61.52±2.88）分升高至术后的（78.59±4.69）分，Constant-Murley肩关节功能评分由术前的（59.51±3.56）分升高至术后的（79.54±3.62）分，两种评分术前术后比较，差异均有统计学意义（P < 0.05）。结论 关节镜下双锁定环技术缝合治疗肩袖撕裂，创伤小、疗效确切，具有操作简捷、缝合牢靠和节省费用的优点，且在一定程度上可缩短手术时间，利于术后早期肩关节功能锻炼。

Abstract:

Objective To explore the clinical effect of arthroscopic double locking stitch technique to treat rotator cuff tears.Methods A retrospective analysis of 11 patients with rotator cuff tears treated from July 2019 to April 2020 was performed with double locking stitch technique under arthroscopy. There were 4 males and 7 females; Aged 43 ~ 61 years, with an average age of 51 years. All the patients were evaluated by American Shoulder and Elbow Surgeons (ASES) score and Constant-Murley score before and after surgery.Results All the patients were followed up for 3 ~ 12 months, with an average of 6.2 months. There were no postoperative complications such as incision infection and deep vein thrombosis. The ASES score increased from preoperative (61.52 ± 2.88) to postoperative (78.59 ± 4.69), Constant-Murley score increased from preoperative (59.51 ± 3.56) to postoperative (79.54 ± 3.62), the difference between Constant-Murley score and ASES score before and after operation, the difference was statistically significant (P < 0.05).Conclusion Arthroscopic double locking stitch technique suture in treatment of rotator cuff tears is less invasive, accurate, and has the advantages of simple operation, reliable suture, cost saving, etc. It can shorten the operation time to a certain extent, which is beneficial to early postoperative functional training of shoulder joints.