肩关节镜下单排缝合技术联合针刀治疗老年肩袖损伤的临床疗效分析

Clinical effect analysis of single row suture technique combined with acupotomy for treatment of rotator cuff injury in elderly patients under shoulder arthroscopy

关键词:  肩关节镜  单排缝合技术  针刀  老年肩袖损伤

Key words:  shoulder arthroscopy  single row suture  acupotomy  rotator cuff injury in the elderly

摘要:

[目的] 探讨肩关节镜下单排缝合技术联合针刀治疗肩袖损伤的临床效果。[方法] 北京市隆福医院骨科2019年1月—2020年1月收治的60例老年肩袖损伤患者，应用随机数字表法随机纳入研究组（肩关节镜下单排缝合技术联合针刀）与对照组（肩关节镜下单排缝合技术），每组各30例。观察两组患者经相应治疗后的洛杉矶加州大学关节功能评分（UCLA评分）、美国肩肘外科评分（ASES）评分、疼痛视觉模拟评分法（VAS）评分、肩关节活动度包括、外展、内收、上举、后伸、前屈度、肩袖撕裂再发生率。[结果] 研究组ASES评分、UCLA评分、Constant评分高于对照组VAS评分低于对照组（P<0．05），肩关节活动度优于治疗前。[结论] 肩关节镜下单排缝合术治疗肩袖损伤患者术后给予针刀治疗，可有有效缓解患者术后关节活动障碍及疼痛，效果显著。

Abstract:

[Objective] To explore the clinical effect of single row suture technique combined with needle knife in the treatment of rotator cuff injury under shoulder arthroscopy.[Methods] The 60 elderly patients with rotator cuff injury admitted to the department of orthopedics of our hospital from January 2019 to January 2020 were randomly included in the study group(shoulder arthroscopy single-row suture technique combined with needle knife) and the control group (shoulder joint) using the random number table method. Single-row suture technique under microscope, 30 cases in each group. The UCLA score, ASES score, VAS score, Constant score, abduction, adduction, lifting, extension, flexion and the rate of rotator cuff tear were observed. [Results] The ASES score, UCLA score, and Constant score of the study group were higher than those of the control group, and the VAS score was lower than that of the control group (P<0.05). [Conclusion] The treatment of shoulder arthroscopic single row suture combined with acupotomy in patients with rotator cuff injury has a remarkable effect.