关节镜下保留二头肌肌腱转位固定术治疗巨大肩袖撕裂的疗效分析 |
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引用本文: | 胡益华,阳春华,李聪,李雄,吕红斌.关节镜下保留二头肌肌腱转位固定术治疗巨大肩袖撕裂的疗效分析[J].中国现代医学杂志,2019,29(5):74-77. |
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作者姓名: | 胡益华 阳春华 李聪 李雄 吕红斌 |
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作者单位: | (1. 长沙市第一医院 关节外科, 湖南 长沙 410005 ; 2. 中南大学湘雅医院
运动医学科, 湖南 长沙 410008) |
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基金项目: | 国家自然科学基金面上项目(No : 81472072) |
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摘 要: | 目的??研究关节镜下保留二头肌肌腱转位固定术治疗巨大肩袖撕裂。方法??2014 年 1 月—2017 年
5 月对 39 例巨大肩袖撕裂患者施行保留肱二头肌长头腱的肌腱转位固定术。术前与术后 6 个月进行 Constant-
Murley 肩关节评分、 加利福尼亚大学洛杉矶分校(UCLA)肩关节评分。结果??患者手术顺利, 术前 Constant-
Murley 肩关节评分为(28.07±7.48) ,UCLA 肩关节评分为(17.8±2.6) ; 术后 6 个月随访 Constant‐Murley
肩关节评分为(72.02±6.38) ,UCLA 肩关节评分为(30.5±2.4) 。术后 Constant-Murley 肩关节评分、UCLA
肩关节评分与术前比较,差异有统计学意义( P <0.05) 。术后患者疼痛缓解,未出现复发。结论??关节镜下保
留二头肌肌腱转位固定术治疗巨大肩袖撕裂临床效果满意。
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关 键 词: | 巨大肩袖撕裂 / 肩关节 关节镜 肌腱转位固定术 / 外科手术 |
收稿时间: | 2018/8/6 0:00:00 |
Application of reservation of biceps tendon fixation and
transposition for treatment of giant rotator cuff tears |
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Institution: | (1. Department of Joint Surgery, The First Hospital of Changsha, Changsha, Hunan 410005 China;
2. Department of Sports Medicine, Xiangya Hospital, Central South University,
Changsha, Hunan 410008 China) |
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Abstract: | Objective To explore the clinical efficacy of arthroscopic retention of biceps tendon fixation and
transposition for treatment of giant rotator cuff tears. Methods From January 2014 to May 2017, 39 patients of giant
rotator cuff tears treated with arthroscopic tenodesis with biceps tendon fixation and transposition were involved in
this study. Constant-Murley shoulder score and the University of California at Los Angeles (UCLA) shoulder scale
were assessed in pre-operation and 3, 6 months after operation. Results All patients successfully received surgical
intervention. Constant-Murley shoulder score was increased significantly 6 months post-surgery when compared with
that prior to surgical operation (72.02 ± 6.38) vS (28.07 ± 7.48), P < 0.05]. UCLA shoulder scale was enhanced
obviously 6 months post-surgery when compared with that prior to surgical operation (30.5 ± 2.4) vS (17.8 ± 2.6),
P < 0.05]. No recurrence of pain was founded after operation. Conclusions Arthroscopic retention of biceps tendon
fixation and transposition could achieve a satisfactory efficacy in the treatment of giant rotator cuff tears. |
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Keywords: | giant rotator cuff tear/shoulder joint arthroscopy tendon transposition fixation/surgery |
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