单排缝合技术和缝线桥技术修补中度肩袖撕裂比较.docVIP

单排缝合技术和缝线桥技术修补中度肩袖撕裂比较 　　[摘要] 目的 比?^单排缝合技术和缝线桥技术修补中度肩袖撕裂的情况。 方法 选择延安大学附属医院2017年1～12月收治的中度肩袖撕裂患者70例，采用随机纸片法分为两组：对照组（单排缝合技术）35例，观察组（缝线桥技术）35例。观察两组患者术前、术后加州大学肩关节评分系统（UCLA）肩评分、美国肩与肘协会评分系统（ASES）评分、肩关节评分系统（constant-murley）评分、视觉模拟评分法（VAS）评分、前屈角度、外展角度、体侧外旋角度情况，比较两组临床疗效。 结果 两组患者术前、术后组间UCLA肩评分、ASES评分、constant-murley评分、VAS评分、前屈角度、外展角度、体侧外旋角度比较，差异均无统计学意义（P 0.05）。两组患者术后UCLA肩评分、ASES评分、constant-murley评分、前屈角度、外展角度、体侧外旋角度均高于同组术前，VAS评分均低于同组术前，差异均有统计学意义（P 0.05）。 结论 单排缝合技术和缝线桥技术修补中度肩袖撕裂均具有良好的效果，二者无明显差异，值得临床推广应用。 　　[关键词] 单排缝合技术；缝线桥技术；中度肩袖撕裂；加州大学肩关节评分系统；美国肩与肘协会评分系统；肩关节评分系统；视觉模拟评分法 　　[中图分类号] R686.1 [文献标识码] A [文章编号] 1673-7210（2018）08（c）-0084-04 　　[Abstract] Objective To compare the conditions of single-row suture anchor technique and suture bridge suture anchor technique in repairing moderate rotator cuff tears. Methods From January to December 2017， in Yan′an University Affiliated Hospital， 70 patients with moderate rotator cuff tears were selected， they were divided into two groups by random paper method， control group （single-row suture anchor technique） had 35 cases， observation group （suture bridge suture anchor technique） had 35 cases. The shoulder score of University of California at LosAngeles （UCLA）， American Shoulder and Elbow Surgeons′ Form （ASES） score， constant-murley score， visual analogue scale （VAS） score， anteflexion angle， abduction angle， body side external rotation angle of the two groups before and after operation were detected， the clinical effect of the two groups was compared. Results The UCLA shoulder score， ASES score， constant-murley score， VAS score， anteflexion angle， abduction angle， body side external rotation angle between the two groups before and after operation were compared， the differences were not statistically significant （P 0.05）. The UCLA shoulder score， ASES score， constant-murley score， anteflexion angle， abduction angle， body side external rotation angle in two groups after operation were higher than those before operation， while the VAS