关节镜下与开放修复肩袖手术侵袭性的比较研究
A comparative study of surgical invasion in arthroscopic and open rotator cuff repair.
作者信息
Shinoda Tsuyoshi, Shibata Yozo, Izaki Teruaki, Shitama Takashi, Naito Masatoshi
机构信息
Department of Orthopaedic Surgery, Fukuoka University School of Medicine, Jonan-ku, Fukuoka, Japan.
出版信息
J Shoulder Elbow Surg. 2009 Jul-Aug;18(4):596-9. doi: 10.1016/j.jse.2008.12.005. Epub 2009 Feb 28.
This study investigated the degrees of surgical invasion for arthroscopic rotator cuff repair and open rotator cuff repair by evaluating the serum levels of C-reactive protein, hemoglobin, and interleukin-6. The study participants were 17 patients (group A) who underwent arthroscopic rotator cuff repair and 15 patients (group O) who underwent open rotator cuff repair by the same surgeon. The difference in the size of the rotator cuff tear between the 2 groups was not significant (P > .05). No significant differences were recorded in the postoperative serum levels of C-reactive protein and hemoglobin between the 2 groups (P > .05). The mean postoperative serum level of interleukin-6 was significantly lower in group A than in group O (P < .01). Our findings indicate that arthroscopic rotator cuff repair is less invasive than open rotator cuff repair.
本研究通过评估血清C反应蛋白、血红蛋白和白细胞介素-6水平，调查关节镜下肩袖修补术和开放性肩袖修补术的手术侵袭程度。研究参与者为17例行关节镜下肩袖修补术的患者（A组）和15例行开放性肩袖修补术的患者（O组），均由同一位外科医生实施手术。两组肩袖撕裂大小的差异无统计学意义（P>0.05）。两组术后血清C反应蛋白和血红蛋白水平无显著差异（P>0.05）。A组术后白细胞介素-6的平均血清水平显著低于O组（P<0.01）。我们的研究结果表明，关节镜下肩袖修补术的侵袭性低于开放性肩袖修补术。
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