关节镜下改良压配式双排缝合技术与单排Mason-Allen技术治疗肩袖撕裂的效果对比

Comparison of modified compression double-row suture versus Mason-Allen single-row technique for arthroscopic repair of rotator cuff tears

摘要:

目的 分析关节镜下单排Mason-Allen技术与改良压配式双排缝合技术治疗肩袖撕裂的效果。方法 选取2021年4月—2023年9月黄石市中医医院收治的96例肩袖撕裂患者。按照不同治疗方法分为两组：对照组46例采取单排Mason-Allen技术，观察组50例采取改良压配式双排缝合技术，对比两组应用效果。结果 观察组术后6个月与术前关节前屈、内旋、外展、外旋和肌力比值的差值均高于对照组（P <0.05）。观察组术后6个月与术前Constant-Murley评分、ASES评分、SST评分的差值均高于对照组（P <0.05）。观察组术后1个月VAS评分下降程度、UCLA评分升高程度均大于对照组（P <0.05）。观察组Sugaya分级优于对照组（P <0.05）。观察组并发症发生率较对照组低（P <0.05），手术时间长于对照组（P <0.05）。结论 与单排Mason-Allen技术相比，采取关节镜下改良压配式双排缝合技术可减轻肩袖撕裂患者疼痛程度，降低肩袖再撕裂和并发症的发生，提升患者肩关节活动度和肌力。

Abstract:

Objective To analyze the effects of Mason-Allen single-row technique and modified compression double-row suture on arthroscopic repair of rotator cuff tears.Methods The 96 patients with rotator cuff tears admitted to Huangshi Hospital of Traditional Chinese Medicine from April 2021 to September 2023 were selected. They were divided into two groups based on different treatment methods, where 46 patients in the control group were treated with the Mason-Allen single-row technique and 50 patients in the observation group underwent the modified compression double-row suture. The outcomes of the two groups were compared.Results At 6 months postoperatively, the improvements in shoulder forward flexion, internal rotation, abduction, external rotation, and the muscle strength ratio in the observation group were all greater than those in the control group (P < 0.05). The differences of the Constant-Murley scores, ASES scores and SST scores before and 6 months after surgery in the observation group were higher than those in control group (P < 0.05). At 1 month postoperatively, the observation group showed a greater decrease in VAS scores and a greater increase in UCLA scores compared to the control group (P < 0.05). The Sugaya classification outcomes in the observation group were better than those in the control group (P < 0.05). The complication rate of the observation group was lower than that of the control group (P < 0.05). The operative duration of the observation group was longer than that of the control group (P < 0.05).Conclusions Compared with the Mason-Allen single-row technique, the modified compression double-row suture for arthroscopic repair of rotator cuff tears can more effectively alleviate pain, reduce the incidence of rotator cuff re-tear and complications, and improve the shoulder range of motion and muscle strength of patients.