摘要
目的探讨对于肩峰撞击征合并肩袖损伤的治疗方法。方法2003年6月～2005年6月收治的肩峰撞击征患者25例,术前或术中诊断合并肩袖损伤者18例。对其中12例合并肩袖完全或不完全断裂的病例在进行肩峰成形的同时将断裂的冈上肌腱做紧缩缝合或做修复缝合锚钉止点重建术。术后指导患者系统功能康复,定期复查。按照ASES评分评价功能恢复情况。结果全部患者获得平均11个月随访。术前本组患者ASES评分平均为32.5分。术后:单纯肩峰成形患者ASES评分平均为92.5分,冈上肌腱做清创缝合的患者平均评分87.1分,冈上肌腱做止点重建患者平均评分85.9分。三种术式患者评分均较术前有显著性改善(P<0.01),而三种术式患者之间评分差异无显著性意义(P>0.05)。结论在对肩峰撞击征的治疗中要注意探查有无肩袖损伤,积极的肩袖修复治疗可获得满意的疗效。
Objective To explore surgical treatment of acromion impingement syndrome combined with rotator cuff injury. Methods From June 2003 to June 2005, 25 cases of acromion impingement syndrome were treated in our department. 18 cases of them were diagnosed as being complicated with rotator cuff injury preoperatively or intraoperatively. 12 of them were diagnosed as partial or complete superspinatus tendon rupture and received operation of suture or insertion site reconstruction with anchor screws. Postoperative rehabilitation programs were recommended and all the patients were followed up regularly at our outpatient clinic. ASES （American Shoulder ＆ Elbow Surgeon） scoring system was used to assess the outcomes of the patients. Results The mean follow-up time was 11 months. The mean ASES score was 32.5 preoperatively. Postoperatively, the mean score for the group of only acromion plasty was 92.5, the mean score for the group of suture of superspinatus tendon group was 87. 1, and the mean score for the group of tendon insertion site reconstruction with anchor screw was 85.9. Significant difference of ASES score was found between the preoperative and postoperative periods （ P〈0.01 ） . There was no significant difference among the 3 treatment groups in terms of ASES score （ P〉0.05）. Conclusions The rotator cuff should be explored to find whether there is an injury in the treatment of acromion impingement syndrome. Good outcomes will be achieved if proper treatment of rotator cuff is selected.
出处
《中华创伤骨科杂志》
CAS
CSCD
2005年第9期817-819,共3页
Chinese Journal of Orthopaedic Trauma
基金
国家十五攻关课题(2003BA712A11-13)
