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中华肩肘外科电子杂志

中华肩肘外科电子杂志 ›› 2022, Vol. 10 ›› Issue (01) : 3 -6. doi: 10.3877/cma.j.issn.2095-5790.2022.01.002

论著

肩袖损伤患者关节镜修补术后的预后影响因素分析
张元桢1, 张艺1, 薛超1, 蔡秋晨1, 程飚1,†()   
  1. 1. 200072　上海，同济大学附属第十人民医院关节外科
  • 收稿日期:2021-06-23 出版日期:2022-02-05
  • 通信作者: 程飚
  • 基金资助:
    国家自然科学基金项目(81972095); 上海市科委项目(19441901702); 上海市科委生物医药科技支撑项目(20S31901400)

Analysis of prognostic factors after arthroscopic rotator cuff repair

Yuanzhen Zhang1, Yi Zhang1, Chao Xue1, Qiuchen Cai1, Biao Cheng1,†()   

  1. 1. Department of Orthopedics, Tenth People's Hospital of Tongji University, Shanghai 200072, China
  • Received:2021-06-23 Published:2022-02-05
  • Corresponding author: Biao Cheng
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引用本文：

张元桢, 张艺, 薛超, 蔡秋晨, 程飚. 肩袖损伤患者关节镜修补术后的预后影响因素分析[J]. 中华肩肘外科电子杂志, 2022, 10(01): 3-6.

Yuanzhen Zhang, Yi Zhang, Chao Xue, Qiuchen Cai, Biao Cheng. Analysis of prognostic factors after arthroscopic rotator cuff repair[J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2022, 10(01): 3-6.

目的

分析肩袖损伤的患者在接受肩关节镜下肩袖修补手术治疗的预后影响因素。

方法

回顾性分析2019年2月至2020年2月于同济大学附属第十人民医院关节外科接受肩关节镜下肩袖修补术治疗肩袖损伤的117例患者的基本资料，术后1年随访手术疗效。

结果

预后良好者95例，占81.20%。多因素分析显示，年龄、术前病程、撕裂程度、是否使用富血小板血浆是影响预后的独立因素。

结论

患者年龄、术前病程、肩袖撕裂程度、术中是否使用富血小板血浆是影响肩关节镜手术治疗肩袖损伤预后的重要因素。

关键词: 肩袖损伤, 关节镜修补术, 预后, 影响因素
Background

Rotator cuff injury is the most common clinical shoulder joint disease, accounting for 50%-85% of all shoulder joint diseases. At present, arthroscopic rotator cuff repair has replaced the traditional surgical plan of incision and suture, becoming the first choice of surgeons. Its effectiveness and safety have been recognized in the industry. However, there are also occasional cases with poor postoperative effects and insufficient pain relief.

Objective

To analyze the prognostic factors of arthroscopy rotator cuff repair.

Methods

From February 2019 to February 2020, the primary data of 117 patients who received arthroscopic rotator cuff repair in the department of orthopedics of tenth people's hospital of Tongji university were retrospectively analyzed, and the surgical efficacy was followed up for one year after surgery.

Results

There were 95 patients with a good prognosis, accounting for 81.20%. Multivariate analysis showed that age, preoperative course of the disease, degree of tear, and the use of platelet-rich plasma (PRP) were independent factors affecting prognosis.

Conclusion

The age, preoperative course of the disease, rotator cuff tear degree, use of PRP during operation are important factors affecting the prognosis of arthroscopy rotator cuff repair.

Key words: Rotator cuff injury, Arthroscopic repair, Prognosis, Influencing factors
表1 影响肩关节镜下肩袖修补术后疗效的单因素分析
组别 例数 年龄（<60岁/≥60岁） 性别（男/女） 术前病程（<6个月/≥6个月） 撕裂程度（一般撕裂/巨大撕裂） 使用PRP（是/否）
预后良好组 95 49/46 36/59 59/36 93/2 76/19
预后不良组 22 6/16 7/15 5/17 16/6 12/10
x2值 4.237 0.284 11.178 17.762 6.208
P值 0.033 0.634 0.002 0.010 0.025
表2 影响肩关节镜下肩袖修补术后疗效的多因素分析
影响因素 B SE Wald值 P值 95% CI
年龄 1.328 0.633 4.406 0.036 0.077~0.916
术前病程 1.608 0.618 6.775 0.009 0.060~0.672
撕裂程度 1.737 0.620 7.854 0.005 0.052~0.593
使用PRP 1.261 0.475 7.061 0.008 0.112~0.718
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