关节镜下不同修补术治疗肩袖损伤的临床效果

目的　比较关节镜下全关节镜肩袖修补术与小切口肩袖修补术治疗肩袖损伤的临床效果。 方法　选取2015年2月至2017年12月本院收治的56例肩袖损伤患者，分为观察组（27例）与对照组（29例），观察组行关节镜下全关节镜肩袖修补术治疗，对照组给予关节镜辅助下小切口肩袖修补术治疗。比较两组患者的疼痛视觉模拟评分（VAS）、美国肘外科医师（ASES）及美国加州大学洛杉矶分校（UCLA）肩关节功能评分、肩关节活动度、肩关节肌力分级等情况。 结果　治疗后，观察组VAS（1.14±0.28）分、ASES（91±5）分、UCLA（34.8±2.7）分，优于对照组的VAS（1.36±0.43）分、ASES（88±5）分、UCLA（32.5±3.1）分，差异有统计学意义，t=2.250、2.544、2.956，均P<0.05；治疗后，观察组内旋（67±6）°、外旋（65±8）°、外展（138±14）°，高于对照组内旋（64±5）°、外旋（62±6）°、外展（133±12）°，t=2.040、2.027、2.064，均P<0.05；治疗后，观察组内旋（4.62±0.64）级、外旋（4.81±0.62）级、外展（4.87±0.56）级，优于对照组内旋（4.26±0.67）级、外旋（4.47±0.60）级、外展（4.51±0.62）级，t=2.053、2.085、2.274，均P<0.05。 结论　关节镜下全关节镜肩袖修补术治疗肩袖损伤的临床疗效更显著，术后恢复快，推广应用价值高。

Clinical effect of different arthroscopic repairs on rotator cuff injury

Objective To compare the clinical effects of arthroscopic total arthroscopy of rotator cuff repair and small incision rotator cuff repair on rotator cuff injury. Methods A study of 56 patients with rotator cuff injury treated in Sanshui District People's Hospital from February 2015 to December 2017 was retrospectively divided into two groups: an observation group (27 cases) and a control group (29 cases). The observation group was given arthroscopic rotator cuff repair under arthroscopy, the control group was given arthroscopic assisted small incision rotator cuff repair. The pain visual analogue scale (VAS), the American Elbow Surgeon (ASES), and the University of California, Los Angeles (UCLA) shoulder joint function scores, shoulder joint mobility, and shoulder joint muscle strength grading of the two groups patients were compared. Results After treatment, the observation group [VAS (1.14±0.28), ASES (91±5), UCLA (34.8±2.7)] was significantly better than the control group [VAS (1.36±0.43), ASES (88±5), UCLA (32.5±3.1)], the difference was statistically significant (t=2.250, 2.544, 2.956, all P<0.05). After treatment, the observation group [internal rotation (67±6)°, external rotation (45 ± 16)°, abduction (133 ± 12)°] was higher than the control group [internal rotation (64±5)°, external rotation (62±6)° and abduction (133±12)°], the difference was statistically significant (t=2.040, 2.027, 2.064, P<0.05); and the observation group [internal rotation (4.62±0.64), external rotation (4.81±0.62), abduction (4.87±0.56)] was superior to the control group [internal rotation (4.26±0.67), external rotation (4.47±0.60), abduction (4.51±0.62)], the difference was statistically significant (t=2.053, 2.085, 2.274, all P<0.05). Conclusions Arthroscopic total arthroscopic rotator cuff repair is more effective in the treatment of rotator cuff injury, which has rapid postoperative recovery and high value in promotion and application.