Lin Wei, Xu Huan, Xing Hai-Lin, Zheng Rong-Zong, Ying Jin-He
Department of Orthopaedics, Lishui Central Hospital, Lishui 323000, Zhejiang, China;
Department of Orthopaedics, Lishui Central Hospital, Lishui 323000, Zhejiang, China.
Zhongguo Gu Shang. 2018 Mar 25;31(3):228-231. doi: 10.3969/j.issn.1003-0034.2018.03.007.
To study effect of shoulder joint function after rotator cuff repair of polylactic acid absorbable membrane.
From September 2015 to December 2016, 50 patients diagnosed with rotator cuff tear were selected and divided into treatment group and control group. There were 25 patients in control group, including 12 males and 13 females, with an average age of (48.7±3.5) years old, who received simple arthroscopic rotator cuff repair. There were 25 patients in treatment group, including 11 males and 14 females, with an average age of(49.2±4.1) years old, who performed arthroscopic rotator cuff repair with implanting polylactic acid absorbable membraneon shoulder of rotator cuff. Preoperative and postoperative VAS score, ASES score and UCLA score were recorded and compared between two groups.
At 6 months after operation, preoperative VAS score in control group was 5.48±1.12, and decreased as 1.28±0.84 after operation; ASES score before operation was 52.24±4.64, and improved to 86.92±3.20 after operation;preoperative UCLA score improved from 14.36±1.89 before operation to 30.72±1.28 after operation. In treatment group, VAS score decreased from 5.36±1.32 before operation to 1.40±0.71 after operation;preoperative ASES score was 51.04±4.09, and improved to 88.96±2.79 after operation; UCLA score improved from 15.12±1.81 before operation to 32.12±1.33 after operation. There was no significant difference in VAS score between two groups, and ASES score, UCLA score in treatment group was obviously better than control group.
Application of polylactic acid absorbable medical membrane could obviously improve shoulder function, and effectively prevent acromion adhesion after arthroscopic rotator cuff repair.
研究聚乳酸可吸收膜修复肩袖后对肩关节功能的影响。
选取2015年9月至2016年12月诊断为肩袖撕裂的患者50例，分为治疗组和对照组。对照组25例，男12例，女13例，平均年龄（48.7±3.5）岁，行单纯关节镜下肩袖修复术；治疗组25例，男11例，女14例，平均年龄（49.2±4.1）岁，行关节镜下肩袖修复术并于肩袖处植入聚乳酸可吸收膜。记录并比较两组术前及术后视觉模拟评分法（VAS）、美国肩肘外科协会（ASES）评分及加州大学洛杉矶分校（UCLA）评分。
术后6个月，对照组术前VAS评分为5.48±1.12，术后降至1.28±0.84；术前ASES评分为52.24±4.64，术后提高至86.92±3.20；术前UCLA评分由14.36±1.89提高至术后的30.72±1.28。治疗组VAS评分由术前的5.36±1.32降至术后的1.40±0.71；术前ASES评分为51.04±4.09，术后提高至88.96±2.79；UCLA评分由术前的15.12±1.81提高至术后的32.12±l.33。两组VAS评分差异无统计学意义，治疗组ASES评分、UCLA评分明显优于对照组。
聚乳酸可吸收医用膜的应用可明显改善肩关节功能，有效预防关节镜下肩袖修复术后肩峰粘连。
