运动性肩袖损伤镜下修复与保守治疗的近期对比

Comparison of short-term clinical outcomes of arthroscopic repairing versus conservative treatment for sports rotator cuff injuries

摘要:

［目的］对比运动性肩袖损伤关节镜修复与保守治疗的疗效。［方法］2016 年 5 月—2020 年 11 月治疗 100 例运动性肩袖损伤患者。依据治疗前医患沟通结果，50 例采用手术治疗，50 例采用保守治疗。比较两组疗效。［结果］两组患者均顺利完成治疗，无严重并发症。随时间推移，两组 QOL、UCLA 和 Constant-Murley 评分，以及外展上举 ROM 和外旋 ROM 均显著增加（P<0.05）。治疗前两组间 QOL、UCLA 和 Constant-Murley 评分，以及外展上举 ROM 和外旋 ROM 的差异均无统计学意义 （P>0.05），但术后 8 周，3、6 个月，手术组 QOL、UCLA 和 Constant-Murley 评分，以及外展上举 ROM 和外旋 ROM 均显著优于保守组（P<0.05）。［结论］ 与保守治疗相比，关节镜手术治疗运动性肩袖损伤效果确切，可有效减轻疼痛，改善肩关节功能和生活质量。

Abstract:

[Objective] To compare the clinical efficacy in short term of arthroscopic repairing versus conservative treatment for sports rotator cuff injury. [Methods] From May 2016 to November 2020, 100 patients with sports rotator cuff injury were treated in our depart- ment. According to the results of doctor-patient communication before treatment, 50 patients were treated with the surgery, while the other 50 patients underwent the conservative treatment. The clinical efficacy was compared between the two groups. [Results] The patients in both groups were successfully treated without serious complications. The QOL, UCLA, and Constant-Murley scores, as well as abductionuplifting range of motion (ROM) and external rotation ROM increased significantly over time in both groups (P＜0.05) . Although there were no statistically significant differences between the two group in terms of QOL, UCLA and Constant-Murley scores, as well as abduction up- lifting ROM and external rotation ROM before operation (P＜0.05) , the surgical group proved significantly superior to the conservative group in abovementioned items at 8 weeks, 3 months and 6 months postoperatively (P＜0.05) . [Conclusion] Compared with conservative treatment, arthroscopic repairing is an effective treatment for sports rotator cuff injuries, does relieve pain and improve shoulder function and quality of life effectively.