单排缝合技术和缝线桥技术修补中度肩袖撕裂的比较

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摘要目的比较单排缝合技术和缝线桥技术修补中度肩袖撕裂的情况。方法选择延安大学附属医院2017年1~12月收治的中度肩袖撕裂患者70例，采用随机纸片法分为两组：对照组（单排缝合技术）35例，观察组（缝线桥技术）35例。观察两组患者术前、术后加州大学肩关节评分系统（UCLA）肩评分、美国肩与肘协会评分系统（ASES）评分、肩关节评分系统（constant-murley）评分、视觉模拟评分法（VAS）评分、前屈角度、外展角度、体侧外旋角度情况，比较两组临床疗效。结果两组患者术前、术后组间UCLA肩评分、ASES评分、constant-murley评分、VAS评分、前屈角度、外展角度、体侧外旋角度比较，差异均无统计学意义（P > 0.05）。两组患者术后UCLA肩评分、ASES评分、constant-murley评分、前屈角度、外展角度、体侧外旋角度均高于同组术前，VAS评分均低于同组术前，差异均有统计学意义（P < 0.05）。两组患者临床治疗优良率比较差异无统计学意义（P > 0.05）。结论单排缝合技术和缝线桥技术修补中度肩袖撕裂均具有良好的效果，二者无明显差异，值得临床推广应用。

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	宗龙泽1 史永涛1 杨明智2▲

关键词 ：单排缝合技术, 缝线桥技术, 中度肩袖撕裂, 加州大学肩关节评分系统, 美国肩与肘协会评分系统, 肩关节评分系统, 视觉模拟评分法

Abstract：Objective To compare the conditions of single-row suture anchor technique and suture bridge suture anchor technique in repairing moderate rotator cuff tears. Methods From January to December 2017, in Yan′an University Affiliated Hospital, 70 patients with moderate rotator cuff tears were selected, they were divided into two groups by random paper method, control group (single-row suture anchor technique) had 35 cases, observation group (suture bridge suture anchor technique) had 35 cases. The shoulder score of University of California at LosAngeles (UCLA), American Shoulder and Elbow Surgeons′ Form (ASES) score, constant-murley score, visual analogue scale (VAS) score, anteflexion angle, abduction angle, body side external rotation angle of the two groups before and after operation were detected, the clinical effect of the two groups was compared. Results The UCLA shoulder score, ASES score, constant-murley score, VAS score, anteflexion angle, abduction angle, body side external rotation angle between the two groups before and after operation were compared, the differences were not statistically significant (P > 0.05). The UCLA shoulder score, ASES score, constant-murley score, anteflexion angle, abduction angle, body side external rotation angle in two groups after operation were higher than those before operation, while the VAS scores were lower than those before operation, the differences were statistically significant (P < 0.05). The excellent and good rate between the two groups had no statistically significant difference (P > 0.05). Conclusion Both single-row suture anchor technique and suture bridge suture anchor technique in repairing moderate rotator cuff tears have good effects, they have no significant difference, they are worthy of clinical promotion and application.

Key words： Single-row suture anchor technique Suture bridge suture anchor technique Moderate rotator cuff tears University of California at LosAngeles American Shoulder and Elbow Surgeons&prime Form Constant-murley score Visual analogue scale

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引用本文:

宗龙泽1 史永涛1 杨明智2▲. 单排缝合技术和缝线桥技术修补中度肩袖撕裂的比较[J]. 中国医药导报, 2018, 15(24): 84-87.
ZONG Longze1 SHI Yongtao1 YANG Mingzhi2▲ . Comparison of single-row suture anchor technique and suture bridge suture anchor technique in repairing moderate rotator cuff tears. 中国医药导报, 2018, 15(24): 84-87.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2018/V15/I24/84

[1] 潘海乐，张一翀，吕松岑，等.使用单排缝合技术和缝线桥技术修补中度肩袖撕裂的结果比较[J].中华肩肘外科电子杂志，2014，2（2）：85-90.
[2] Collin P，Abdullah A，Kherad O，et al. Prospective evaluation of clinical and radiologic factors predicting return to activity within 6 months after arthroscopic rotator cuff repair [J]. J Shoulder Elbow Surg，2015，24（3）：439-445.
[3] 裴杰，王青.肩袖撕裂双排缝合技术与缝线桥技术的疗效对比分析[J].中国运动医学杂志，2017，36（1）：9-13，20.
[4] Mihata T，Watanabe C，Fukunishi K，et al. Functional and structural outcomes of single-row versus double-row versus combined double-row and suture-bridge repair for rotator cuff tears [J]. Am J Sports Med，2011，39（10）：2091-2098.
[5] 田谦.关节镜下缝线桥与双排锚钉修复肩袖撕裂的疗效观察[J].现代仪器与治疗，2017，23（2）：113-115.
[6] Pauly S，Fiebig D，Kieser B，et al. Biomechanical comparison of four double-row speed-bridging rotator cuff repair techniques with or without medial or lateral row enhancement [J]. Knee Surg Sports Traumatol Arthrosc，2011，19（12）：2090-2097.
[7] Amstutz HC，Sew HA，Clarke IC. UCLA anatomic total shoulder arthroplasty [J]. Clin Orthop Relat Res，1981，1（155）：7-20.
[8] Richards RR，An KN，Bigliani LU，et al. A standardized method for the assessment of shoulder function [J]. J Shoulder Elbow Surg，1994，3（6）：347-352.
[9] Charousset C，Zaoui A，Bella?觙che L，et al. Does autologous leukocyte-platelet–rich plasma improve tendon healing in arthroscopic repair of large or massive rotator cuff tears` [J]. Arthroscopy，2014，30（4）：428-435.
[10] 胡宁利，王景阳.慢性疼痛的药理学[J].国外医学：麻醉学与复苏分册，1998，19（4）：219．
[11] Lee HI，Shon MS，Koh KH，et al. Clinical and radiologic results of arthroscopic biceps tenodesis with suture anchor in the setting of rotator cuff tear [J]. J Shoulder Elb Surg，2014，23（3）：e53-e60.
[12] Lindley K，Jones GL. Outcomes of arthroscopic versus open rotator cuff repair：a systematic review of the literature [J]. Am J Orthop（Belle Mead NJ），2010，39（12）：592-600.
[13] 刘少华，李宏，孙亚英，等.关节镜下单排与缝线桥技术修复中型肩袖撕裂——临床与核磁共振评价[J].中国运动医学杂志，2017，36（2）：97-100，105.
[14] Pedowitz RA，Yamaguchi K，Ahmad CS，et al. American Academy of Orthopaedic，S. Optimizing the management of rotator cuff problems [J]. J Am Acad Orthop Surg，2011， 19（6）：368-379.
[15] Hernigou P，Lachaniette CHF，Delambre J，et al. Biologic augmentation of rotator cuff repair with mesenchymal stem cells during arthroscopy improves healing and prevents further tears：a case-controlled study [J]. Int Orthop，2014，38（9）：1811-1818.
[16] Hotta T，Yamashita T. Osteolysis of the inferior surface of the acromion caused by knots of the suture thread after rotator cuff repair surgery：knot impingement after rotator cuff repair [J]. J Shoulder Elbow Surg，2010，19（8）：e17-e23.
[17] 李梦远，郑秋坚.关节镜下治疗肩袖撕裂的现状和研究进展[J].中华创伤骨科杂志，2014，16（4）：348-350.
[18] Millett PJ，Warth RJ，Dornan GJ，et al. Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair：a systematic review and meta-analysis of level Irandomized clinical trials [J]. J Shoulder Elb Surg，2014，23（4）：586-597.
[19] 陈刚，潘界恩，黄成龙，等.关节镜下双排缝合桥技术治疗中大型肩袖全层撕裂[J].中华创伤杂志，2015，31（9）：823-828.
[20] Castagna A，Borroni M，Garofalo R，et al. Deep partial rotator cuff tear：transtendon repair or tear completion and repair A randomized clinical trial [J]. Knee Surg Sport Tr A，2015，23（2）：460-463.
[21] 谢杰，孙亚英，殷浩，等.关节镜下肩袖修补联合粘连松解术治疗肩袖撕裂合并肩关节僵硬疗效分析[J].中国运动医学杂志，2015，34（7）：633-637.
[22] Hein J，Reilly JM，Chae J，et al. Retear rates after arthroscopic single- row，double- row，and suture bridge rotator cuff repair at a minimum of 1 year of imaging follow-up：a systematic review [J]. Arthroscopy，2015，31（11）：2274-2281.
[23] Ji X，Bi C，Wang F，et al. Arthroscopic versus miniopen rotator cuff repair：an up-to-date meta-analysis of randomized controlled trials [J]. Arthroscopy，2015，31（1）：118-124.