Pĕchoucek J
Ortopedické oddĕlení nemocnice, OUNZ Pardubice.
Acta Chir Orthop Traumatol Cech. 1990 Feb;57(1):34-9.
The work presents the outcomes of clinical, radiological and mathematical analyses of 42 patients with the rupture of the whole width of the cuff of shoulder rotators treated operatively. The group comprised 34 male and 8 female patients, the average age 55.5 years. The mean period between the operation and final clinical evaluation was 23 months. According to the method chosen for the evaluation of the results by means of 100-point score acceptable result was achieved in 90 per cent of cases (excellent in 64 per cent, good in 26 per cent). Double t-test showed that significantly participating in the results were the following factors: the period between the origin of complaints and operation (p less than 0.001), degenerative changes of the greater tubercle of humerus (p less than 0.001), atrophy of supraspinatus muscle and infraspinatus muscle (p less than 0.001), the degree of difficultness of the patient's work (p less than 0.005), indication for operation (pain, limited range of motion) (p less than 0.025). According to the mathematical analysis these factors independently influenced the final results.
该研究展示了42例接受手术治疗的肩袖全层撕裂患者的临床、放射学及数学分析结果。该组包括34例男性和8例女性患者,平均年龄55.5岁。手术至最终临床评估的平均时间为23个月。根据采用100分评分法评估结果的方法,90%的病例取得了可接受的结果(64%为优秀,26%为良好)。双t检验显示,对结果有显著影响的因素如下:症状出现至手术的时间(p<0.001)、肱骨大结节的退行性改变(p<0.001)、冈上肌和冈下肌萎缩(p<0.001)、患者工作难度程度(p<0.005)、手术指征(疼痛、活动范围受限)(p<0.025)。根据数学分析,这些因素独立影响最终结果。