肩袖损伤开放手术与关节镜下修复的疗效对比
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摘要
目的探讨肩关节镜下肩袖修复术对肩袖损伤的治疗作用。方法收集2016年3月—2018年3月肩袖损伤患者35例,随机分组。对照组选择常规开放手术方式,观察组选择肩关节镜下肩袖修复术。分析手术操作的时间、住院恢复时间、医疗花费;治疗前后患者肩关节疼痛程度评分,肩关节前屈活动度、外旋活动度、外展活动度,ASES评分,Constant-Mueley评分以及并发症。结果观察组肩关节疼痛程度评分,肩关节前屈活动度、外旋活动度,外展活动度、ASES评分以及Constant-Mueley评分,手术操作的时间,住院恢复时间,医疗花费,并发症和对照组比较有优势(P<0.05)。结论肩袖损伤患者实施肩关节镜下肩袖修复术可获得较好效果,可有效改善肩关节功能,缓解肩关节疼痛,改善肩关节的活动度,减少并发症的发生。
Objective To investigate the therapeutic effect of rotator cuff repair under shoulder arthroscopy on rotator cuff injury.Methods A total of 35 patients with rotator cuff injuries from March 2016 to March 2018 were randomly assigned into two groups.The control group was treated by conventional method, and the observation group was treated by shoulder arthroscopy for rotator cuff repair.The time of operation, hospitalization recovery time, medical expenses, complications, as well as the shoulder pain score, shoulder flexion activity, external rotation activity, abduction activity, ASES score, and Constant-Mueley score before and after treatment were analyzed.Results The observation group significantly improved shoulder pain score, shoulder flexion activity, external rotation activity, abduction activity, ASES score, Constant-Mueley score, time of operation, hospitalization recovery time, medical expenses, and complications compared with the control group(P<0.05).Conclusion Shoulder arthroscopic rotator cuff repair can achieve better results for patients with rotator cuff injury, effectively improving shoulder function and shoulder mobility, as well as reducing shoulder pain and complications.
Objective To investigate the therapeutic effect of rotator cuff repair under shoulder arthroscopy on rotator cuff injury.Methods A total of 35 patients with rotator cuff injuries from March 2016 to March 2018 were randomly assigned into two groups.The control group was treated by conventional method, and the observation group was treated by shoulder arthroscopy for rotator cuff repair.The time of operation, hospitalization recovery time, medical expenses, complications, as well as the shoulder pain score, shoulder flexion activity, external rotation activity, abduction activity, ASES score, and Constant-Mueley score before and after treatment were analyzed.Results The observation group significantly improved shoulder pain score, shoulder flexion activity, external rotation activity, abduction activity, ASES score, Constant-Mueley score, time of operation, hospitalization recovery time, medical expenses, and complications compared with the control group(P<0.05).Conclusion Shoulder arthroscopic rotator cuff repair can achieve better results for patients with rotator cuff injury, effectively improving shoulder function and shoulder mobility, as well as reducing shoulder pain and complications.
引文
[1] 刘莉,崔亚西,李箭,等.高渗灌洗液在肩关节镜下肩袖修复术中的应用及疗效[J].护士进修杂志,2018,33(18):1674-1677.
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[11] 李小飞,谢文瑾,盛路新.肩关节镜下肩袖修复术治疗肩袖损伤的临床效果观察[J].山东医药,2015,55(37):90-91.
[12] 高扬,杨晓娟,于宝华,等.侧卧位肩关节镜下肩袖修复手术配合的体会[J].内蒙古中医药,2014,33(29):122-123.
[2] 张一翀,陈建海.美国肩肘外科治疗师协会:关于肩关节镜下肩袖修复术后康复的共识声明(续)[J].中华肩肘外科电子杂志,2018,6(2):139-150.
[3] 张一翀,陈建海.美国肩肘外科治疗师协会:关于肩关节镜下肩袖修复术后康复共识声明[J].中华肩肘外科电子杂志,2018,6(1):59-63.
[4] 曾磊.试论肩关节镜下肩袖修复术治疗68例肩袖损伤患者的临床效果[J].世界最新医学信息文摘,2017,17(95):117,122.
[5] 俞志茹,史根女,王传香.观察肩关节镜下肩袖损伤修复术的康复护理效果[J].基层医学论坛,2017,21(27):3739-3740.
[6] 蔡万松,陆志剀.80例肩袖损伤患者行肩关节镜肩袖修复术治疗的临床疗效探讨研究[J].浙江创伤外科,2017,22(4):761-763.
[7] 张凯,邓迎杰,方锐,等.肩胛上神经阻滞联合镇痛对肩关节镜下肩袖修复术镇痛效果观察[J].临床药物治疗杂志,2017,15(7):68-71.
[8] 李卫彦,王鹏.肩胛上神经阻滞联合镇痛在肩关节镜下肩袖修复术疼痛管理中的应用[J].中国医刊,2017,52(7):45-48.
[9] 杨青霞,龚敏.肩关节镜下肩袖损伤修复术患者康复护理35例总结[J].深圳中西医结合杂志,2016,26(11):150-152.
[10] 姚晓滨.老年性肩袖损伤肩关节镜下修复术的临床研究[J].中国老年学杂志,2015,35(21):6204-6205.
[11] 李小飞,谢文瑾,盛路新.肩关节镜下肩袖修复术治疗肩袖损伤的临床效果观察[J].山东医药,2015,55(37):90-91.
[12] 高扬,杨晓娟,于宝华,等.侧卧位肩关节镜下肩袖修复手术配合的体会[J].内蒙古中医药,2014,33(29):122-123.