肩峰成形在关节镜下冈上肌腱缝合术中的作用
Role of arthroscopic acromioplasty in repair of supraspinatus muscle tendon tear
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摘要: 目的 观察关节镜下肩峰成形对冈上肌腱修复临床效果的影响。 方法 收集我单位2010年3月-2011年12月收治的肩袖损伤患者34例,关节镜下证实冈上肌腱全层撕裂。将患者随机分为2组,即肩峰成形组和非肩峰成形组,每组17例。术后采用Constant-Murley肩关节评分系统(Constant-Murley Score,CMS)和加州大学(University of California at Los Angeles,UCLA)肩关节评分系统评价关节功能。 结果 两组患者术后CMS评分和UCLA肩关节评分差异均无统计学意义(P>0.05)。 结论 肩峰成形术对冈上肌腱全层撕裂的患者肩袖修复术术后效果没有明显影响。Abstract: Objective To observe the role of arthroscopic acromioplasty in repair of supraspinatus muscle tendon tear. Methods Thirty-four patients with rotator cuff injury accompanying arthroscopy-confirmed full-thickness supraspinatus muscle tendon tear admitted to our hospital from March 2010 to December 2011 were randomly divided into acromioplasty group and non-acromioplasty group(17 in each group).Their shoulder joint function was scored using the CMS system and the UCLA scoring system, respectively. Results No significant difference was found in the CMS and UCLA scores for the shoulder joint between the two groups(P>0.05). Conclusion The effect of arthroscopic acromioplasty is insignificant on repair of rotator cuff injury in patients with supraspinatus muscle tendon tear.