肩袖损伤患者关节镜修补术后的预后影响因素分析

目的分析肩袖损伤的患者在接受肩关节镜下肩袖修补手术治疗的预后影响因素。 方法回顾性分析2019年2月至2020年2月于同济大学附属第十人民医院关节外科接受肩关节镜下肩袖修补术治疗肩袖损伤的117例患者的基本资料，术后1年随访手术疗效。 结果预后良好者95例，占81.20%。多因素分析显示，年龄、术前病程、撕裂程度、是否使用富血小板血浆是影响预后的独立因素。 结论患者年龄、术前病程、肩袖撕裂程度、术中是否使用富血小板血浆是影响肩关节镜手术治疗肩袖损伤预后的重要因素。

Analysis of prognostic factors after arthroscopic rotator cuff repair

BackgroundRotator cuff injury is the most common clinical shoulder joint disease, accounting for 50%-85% of all shoulder joint diseases. At present, arthroscopic rotator cuff repair has replaced the traditional surgical plan of incision and suture, becoming the first choice of surgeons. Its effectiveness and safety have been recognized in the industry. However, there are also occasional cases with poor postoperative effects and insufficient pain relief. ObjectiveTo analyze the prognostic factors of arthroscopy rotator cuff repair. MethodsFrom February 2019 to February 2020, the primary data of 117 patients who received arthroscopic rotator cuff repair in the department of orthopedics of tenth people's hospital of Tongji university were retrospectively analyzed, and the surgical efficacy was followed up for one year after surgery. ResultsThere were 95 patients with a good prognosis, accounting for 81.20%. Multivariate analysis showed that age, preoperative course of the disease, degree of tear, and the use of platelet-rich plasma (PRP) were independent factors affecting prognosis. ConclusionThe age, preoperative course of the disease, rotator cuff tear degree, use of PRP during operation are important factors affecting the prognosis of arthroscopy rotator cuff repair.