关节镜下手术治疗老年肩袖损伤的临床效果

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Abstract Objective To investigate the difference of curative effect between arthroscopic surgery and conservative treatment for rotator cuff injury in patients over 65 years. Methods From May 2011 to June 2014, in Department of Joint Surgery, Affiliated Hospital of Chengde Medical College, 50 patients with rotator cuff injuries were selected, the patients were divided into two groups according to patients' treatment willingness, 30 cases treated with arthroscopy or shoulder arthroscopy were selected as operation group, and 20 cases treated conservative method were selected as conservation group. The pain visual analogue scale (VAS), American shoulder and elbow surgeons (ASES) and shoulder joint score system in California University (UCLA) were compared, and the recovery of shoulder function after surgery were also evaluated. Results All patients were followed up for 24-36 months. No complication such as infection, incision not healing, secondary crack were observed. There was no significant difference in shoulder function scores between the operation group and the conservation group before treatment (P > 0.05); the shoulder joint function in two groups at the last follow-up significantly improved compared with before treatment, and this in operation group was bwtter than that in conservation group, the difference were statistically significant (P < 0.05). Conclusion Arthroscopic surgery to repair rotator cuff injuries in patients over the age of 65 years can improve function and pain relief.

Key words： Rotator cuff Aged Arthroscopic Effective

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	DAI Haifeng1 LI Jia1 WANG Zhihui1 LIU Feng2 XU Cong1▲

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DAI Haifeng1 LI Jia1 WANG Zhihui1 LIU Feng2 XU Cong1▲. Clinical effect of arthroscopic surgery for rotator cuff injuries in the elderly[J]. 中国医药导报, 2017, 14(27): 89-92.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I27/89

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