[1]肖健,崔国庆,王健全.肩袖部分撕裂的诊断和治疗[J].中国微创外科杂志,2006,06(2):129-131.
　Xiao Jian,Cui Guoqing,Wang Jianquan.Diagnosis and treatm ent of partial-thickness rotator cuff tears[J].Chinese Journal of Minimally Invasive Surgery,2006,06(2):129-131.
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肩袖部分撕裂的诊断和治疗()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年2期
页码:
129-131
栏目:
出版日期:
2006-02-20

文章信息/Info

Title:
Diagnosis and treatm ent of partial-thickness rotator cuff tears　
作者:
肖健; 崔国庆; 王健全　
北京大学第三医院运动医学研究所,北京,100083
Author(s):
Xiao Jian;  Cui Guoqing;  Wang Jianquan
Institute of Sports Medicine, Peking University Third Hospital, Beijing 100083, China
关键词:
肩关节; 肩袖; 部分撕裂; 关节镜
Keywords:
Shoulder joint; 　Rotator cuf; f　Partial-thickness tear; 　Arthroscopy
分类号:
R686.1
文献标志码:
A
摘要:
目的探讨肩袖部分撕裂的诊断和手术方法.方法1999年4月～2004年1月,我所对14例肩袖部分撕裂进行手术治疗.术前均拍摄肩关节正位和冈上肌出口位X线片,11例B超检查,14例MRI或MRA检查.5例行肩峰下间隙减压及肩袖清理术;9例行肩峰下间隙减压及肩袖修复术.采用UCLA肩关节评分标准进行评价.结果滑囊侧部分撕裂7例,关节侧部分撕裂7例.14例随访1～6年,平均38个月,UCLA评分由术前(15.9±3.9)分升至术后(30.9±5.2)分(t=15.000,P=0.000).良13例,差1例;13例满意.结论关节镜检查是诊断肩袖部分撕裂的可靠方法.肩袖修复术是治疗肩袖部分撕裂的有效方法.关节镜下手术创伤小、恢复快.
Abstract:
Objective　To discuss the diagnosis and treatment of partial-thickness rotator cuff tears.　M ethods　A total of 14 cases ofpartial-thickness rotator cuff tears from April1999 to January2004 were surgically treated in this hospita.l Before operation, X-ray examinations atanteroposteriorview and at scapularoutletviewwere conducted in all cases, B-ultrasonographywas conducted in 11 cases, and magnetic resonance imaging (MRI) or magnetic resonance arthrography (MRA), in 14 cases. Subacromial decompression and tear debridementwas performed in 5 cases, while subacromial decompression and rotator cuff repairwas performed in 9 cases. TheUniversity ofCalifornia LosAngeles (UCLA) shoulder scoring system was used to evaluate the outcomes.　Results　 The partial tearswere identified atbursal-side in 7 cases and at articular-side in 7 cases. The 14 caseswere followed for 1~6 years (mean, 38 months). TheUCLA scoreswere elevated from 15. 9±3. 9 preoperatively to 30. 9±5. 2 postoperatively (t=15.000, P= 0.000). The curative resultswere classified as“good”in 13 cases and“poor”in 1 case.　Conclusions　Arthroscopy is a reliable method for the diagnosis of partial-thickness rotator cuff tears, which can be effectively treated with rotator cuff repairs. Arthroscopic repair gives little invasion and quick recovery.

参考文献/References:

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更新日期/Last Update: 2014-01-27