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中国临床研究英文版:2020,33(5):616-618,622
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关节镜下微创手术治疗肩袖损伤对肩关节功能及肌肉力量的影响
(中国医科大学附属盛京医院关节运动医学病房,辽宁 沈阳110022)
Effects of arthroscopic minimally invasive surgery for rotator cuff injury on shoulder joint and muscle strength
(Department of Joint Sports Medicine,Shengjing Hospital of China Medical University,Shenyang,Liaoning 110022,China)
摘要
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Received:September 11, 2019   Published Online:May 20, 2020
中文摘要: 目的 探讨关节镜下微创手术治疗肩袖损伤对肩关节功能及肌肉力量的影响。方法 选取2017年8月至2018年8月中国医科大学附属盛京医院就诊的肩袖损伤患者78例。按照随机数字表法分为观察组和对照组,每组39例。其中观察组采取关节镜下直接松解后实施肩袖关节修复术治疗,对照组采取手法松解后实施肩袖关节镜修复术治疗。比较两组患者的手术情况、肩关节功能及肌肉力量情况。结果 观察组患者手术时间[(51.26±9.30)minvs(60.22±10.36)min]、住院时间[(7.38±1.68)dvs(12.66±1.24)d]及疼痛缓解时间[(25.28±4.40)hvs(37.38±6.39)h]显著短于对照组,术中出血量[(58.32±7.66)mlvs(84.66±9.40)ml]少于对照组,差异有统计学意义(P<0.01)。两组患者ASES评分及VAS评分的时间效应、时间与组间交互效应比较差异有统计学意义(P<0.01)。观察组术后3个月及术后6个月的ASES评分显著低于对照组(P<0.05)。术后6个月,两组前屈、外旋及内旋评分显著高于术前(P<0.01)。结论 相比于手法松解后实施肩袖关节镜修复术,关节镜下直接松解后实施肩袖关节修复术具有创伤小、恢复快,但是远期疗效不理想。
Abstract:ObjectiveTo investigate the impacts of arthroscopic minimally invasive surgery (AMIS) on shoulder joint function and muscle strength in the treatment of rotator cuff injury.MethodsA total of 78 patients with rotator cuff injuries from August 2017 to August 2018 were selected and were randomly divided into observation group and control group (n=39,each).Arthroscopic arthrolysis and rotator cuff repair was performed in observation group,and arthroscopic repair of rotator cuff after manual release was conducted in control group.The surgical conditions,the function and muscle strength of shoulder joint were compared between two groups.ResultsThe operation time[(51.26±9.30) min vs (60.22±10.36) min],hospital stay [(7.38±1.68) d vs (12.66±1.24) d],pain relief time [(25.28±4.40) h vs (37.38±6.39) h] and the intraoperative bleeding volume [(58.32±7.66) ml vs (84.66±9.40) ml] in observation group were significantly lower than those in control group(P<0.01).In American Shoulder and Elbow Surgeons (ASES) score and visual analog scale (VAS),there were significant differences in the time effects and the interaction effect of time between two groups (P<0.01).At 3 and 6 months after operation,ASES score in observation group was lower than that in control group(P<0.05).At 6 months after operation,the scores for flexion,[JP2]external rotation and internal rotation increased significantly compared with those before operation in both groups(P<0.01).ConclusionCompared with the arthroscopic repair of rotator cuff after manual release,arthroscopic arthrolysis and rotator cuff repair has the advantages of less trauma and quick recovery,however,its long-term effect is not very satisfactory.
文章编号:     中图分类号:    文献标志码:B
基金项目:国家自然科学基金(81772420)
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