[巨大肩袖撕裂的治疗研究进展]
[Research progress of treatment for massive rotator cuff tears].
作者信息
Zheng Xiaolong, Tang Kanglai
机构信息
Department of Sports Medicine Center, the First Affiliated Hospital of the Army Medical University of Chinese PLA, Chongqing, 400038, P.R.China.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Jan 15;35(1):8-13. doi: 10.7507/1002-1892.202004056.
OBJECTIVE
To review the research progress of treatment for massive rotator cuff tears.
METHODS
The domestic and foreign literature about the treatment of massive rotator cuff tears was reviewed. The methods and effectiveness were extensively summarized.
RESULTS
The treatment of massive rotator cuff tears still needs long-term research to promote its continuous improvement. The main goal of treatment is to relieve the symptoms and improve the shoulder joint function. With the development of arthroscopic technique, arthroscopic repair of rotator cuff tears has become a mature surgical protocol. Among these techniques, superior capsule reconstruction and patch augmentation for massive rotator cuff tears acquire more attention in recent years. As for rotator cuff arthropathy, reverse shoulder arthroplasty is considered to be a final choice.
CONCLUSION
Surgical treatment is the main choice for massive rotator cuff tears. Patients' age and muscle condition should be taken into consideration to decide the surgical technique.
目的
回顾巨大肩袖撕裂治疗的研究进展。
方法
复习国内外关于巨大肩袖撕裂治疗的文献，广泛总结其治疗方法及疗效。
结果
巨大肩袖撕裂的治疗仍需长期研究以促进其不断完善。治疗的主要目标是缓解症状和改善肩关节功能。随着关节镜技术的发展，关节镜下肩袖撕裂修复已成为成熟的手术方案。在这些技术中，近年来巨大肩袖撕裂的上关节囊重建和补片增强术受到更多关注。对于肩袖关节病，反式肩关节置换术被认为是最终选择。
结论
手术治疗是巨大肩袖撕裂的主要选择。应考虑患者年龄和肌肉状况来决定手术技术。
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