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关节镜辅助下小切口修复肩袖损伤
引用本文:刘玉杰,蔡胥,王志刚,王岩,李众利,陈继营,贾金鹏,张文涛,高丽,朱娟丽.关节镜辅助下小切口修复肩袖损伤[J].中华手外科杂志,2005,21(1):6-8.
作者姓名:刘玉杰  蔡胥  王志刚  王岩  李众利  陈继营  贾金鹏  张文涛  高丽  朱娟丽
作者单位:100853,北京,解放军总医院骨科
摘    要:目的 探讨关节镜辅助下小切口修复肩袖损伤的方法与疗效。方法  1999年 5月至 2 0 0 3年 10月 ,采用关节镜辅助下小切口修复肩袖损伤 3 2例。术前 3 2例行肩关节X线片和肩关节MRI检查 ,其中 15例行肩关节造影检查 ,结果均证实为肩袖损伤。关节镜下发现肩袖附着处撕脱伤 5例 ,肩袖损伤2 7例。关节镜下行肩峰成形术 3 0例 ,小切口作肩峰成形术 2例。肩袖全层损伤在关节镜辅助下小切口行肩袖缝合术 2 2例 ,肩袖不完全性损伤在关节镜下作射频清理术 10例。结果  3 2例术后随访 6~ 3 2个月 ,平均 10个月。根据美国UCLA肩关节评分标准评估 ,优 2 2例 ,良 5例 ,可 5例 ,优良率达 84.3 7%。结论 关节镜辅助下肩峰成形和小切口修复肩袖损伤具有操作安全简便、创伤小、有利于早期功能练习和康复。

关 键 词:肩关节  关节镜检查  肩袖损伤  肩峰成形术
修稿时间:2004年5月19日

Arthroscope-assisted small incision approach of rotator cuff repair
LIU Yu jie,CAI Xu,WANG Zhi gang,et al..Arthroscope-assisted small incision approach of rotator cuff repair[J].Chinses Journal of Hand Surgery,2005,21(1):6-8.
Authors:LIU Yu jie  CAI Xu  WANG Zhi gang  
Institution:LIU Yu jie,CAI Xu,WANG Zhi gang,et al. Department of Orthopaedic Surgery,General Hospital of PLA,Beijing 100853,China
Abstract:ObjectiveThe techniques and results of arthroscope assisted rotator cuff repair with a small incision approach were reported.MethodsFrom May 1999 to October 2003, 32 cases of rotator cuff tear were treated by arthroscope assisted repair with a small incision. Pre-operative X ray and MRI of the shoulder was obtained in all patients, while shoulder arthrography was done in 15 of them. This group included 5 acute rotator cuff lesions and 27 degenerative rotator cuff tears. Subacromial decompression was carried out under the arthroscopy in 30 cases and with a small incision open procedure in 2. 22 cases of full thickness rotator cuff tear were repaired with a small incision open procedure, while 10 partial thickness tears were treated with arthroscopic debridement and radio frequency.ResultsAll patients were available for follow up for 6 to 32 months, the average follow up period being 10 months. Bases on the scale of UCLA shoulder grading standard, 22 were graded excellent, 4 good, and 6 fair. The overall excellent and good rate was 84.37%.ConclusionArthroscope plays an important role in the diagnosis and treatment of rotator cuff tears. Arthroscopic acromioplasty and small incision rotator cuff repair has such advantages as minimal invasion, safety, early rehabilitation,and rapid recovery.
Keywords:Shoulder joint  Arthroscopy  Rotator cuff tears  Acromioplasty
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