肩关节镜下单排简单间断缝合和单排改良Mason-Allen缝合治疗中小型肩袖损伤的效果

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摘要目的比较肩关节镜下单排简单间断缝合和单排改良Mason-Allen缝合治疗中小型肩袖损伤的效果。方法选择2014年1月～2017年5月皖南医学院第一附属医院收治的因肩袖中小型撕裂损伤接受关节镜手术治疗的患者28例作为研究对象。按治疗方式分为单排简单间断缝合组（13例，A组）和单排改良Mason-Allen缝合组（15例，B组）。采用超声随访再撕裂率、患者术后满意率、加州大学肩关节评分系统（UCLA）、Constant-Murley评分、视觉模拟评分（VAS）比较两组患者的肩关节功能恢复情况。结果所有患者术后均获得随访，随访时间为6～24个月。术前及末次随访时两组再撕裂率、UCLA、Constant-Murley和VAS评分比较，差异均无统计学意义（P ＞ 0.05）；但末次随访时两组UCLA和Constant评分均明显高于术前，VAS评分均明显低于术前，差异均有统计学意义（P ＜ 0.05）。B组术后满意度高于A组，差异有统计学意义（P ＜ 0.05）。结论肩关节镜下单排简单间断缝合和单排改良Mason-Allen缝合均是治疗中小型肩袖损伤的有效方法，但改良Mason-Allen缝合可能具有更好的愈合质量。

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	黄德刚1 杨昕1 贺华正1 李振伟1 乔彬1 徐宏光2▲

关键词 ：肩关节, 缝合技术, 关节镜, 肩袖损伤

Abstract：Objective To compare the effect of single-row simple mattres suture and single-row modified Mason-Allen technique under arthroscopy in the treatment of small and medium rotator cuff injuries. Methods Twenty-eight patients with small and medium tearing injuries of the rotator cuff treated with arthroscopic surgery in the First Affiliated Hospital of Wannan Medical College from January 2014 to May 2017 were selected as the research object and divided into the single-row simple mattres suture group (13 cases, group A) and the single-row modified Mason-Allen technique group (15 cases, group B) by different treatment. The shoulder function was evaluated by ultrasonography for retearing rate, satisfaction rate, the scores of UCLA (University of California at Los Angeles, UCLA scoring system), Constant-Murley and visual analogue scale (VAS). Results All the patients were followed up and the time ranged from 6 to 24 months. There were no statistically significant differences in retearing rate, scores of UCLA, Constant-Murley and VAS before operation and at the last follow up (P ＞ 0.05); but the scores of Constant-Murley and VAS in the two groups at the last follow up were all significant higher than those of before operation, the score of VAS was significant lower than that before operation, with statistically significant differences (P ＜ 0.05). After operation, the satisfaction rate in the group B was higher than that of group A, with statistically significant difference (P ＜ 0.05). Conclusion Single-row simple mattres suture and single-row modified Mason-Allen technique are both clinically effective for shoulder function recovery, but the modified Mason-Allen technique may have better healing quality.

Key words： Shoulder joint Suture techniques Arthroscopies Rotator cuff tear

基金资助:国家自然科学基金资助项目（81572185）。

通讯作者: ▲通讯作者

作者简介: 黄德刚（1968-），男，硕士，副主任医师；研究方向：关节外科。

引用本文:

黄德刚1 杨昕1 贺华正1 李振伟1 乔彬1 徐宏光2▲. 肩关节镜下单排简单间断缝合和单排改良Mason-Allen缝合治疗中小型肩袖损伤的效果[J]. 中国医药导报, 2018, 15(18): 56-59.
HUANG Degang1 YANG Xin1 HE Huazheng1 LI Zhenwei1 QIAO Bin1 XU Hongguang2▲. Effect of single-row simple mattres suture and single-row modified Mason-Allen technique under arthroscopy in the treatment of small and medium rotator cuff injuries. 中国医药导报, 2018, 15(18): 56-59.

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