【摘要】 目的探讨关节镜下肩关节肩袖修补术对类风湿关节炎肩袖损伤的疗效。方法 2007年1月~2010年12月间,对23例类风湿关节炎患者25侧肩关节进行关节镜下肩袖修补术,其中肩袖部分撕裂10例,完全撕裂15例;使用UCLA评分、ASES评分、HAQ评分及Neer标准评价手术效果。结果 23例患者在术后12个月时接受随访。术后无论是肩袖部分撕裂,还是肩袖完全撕裂的患者,疼痛和患者满意度方面得到了明显的改善。肩袖部分撕裂的病例术后的肩关节活动度得到较好的改善,而肩袖完全撕裂的病例的活动度改善不如部分撕裂的患者。结论类风湿关节炎肩袖修补手术虽有难度,但是能较好缓解疼痛,提高患者的满意度。对于肩袖部分撕裂的患者,同时能较好地改善肩关节的活动度。更多还原

【Abstract】 Objective To assess the effect of rotator cuff repair with rheumatoid arthritis(RA) treated by the arthroscopic. Methods Patients with rheumatoid arthritis who had undergone repair of a rotator cuff tear at our hospital from the Jan 2007 to Dec 2010 were retrospectively reviewed. 25 shoulders in 23 patients were identifi ed. 10 shoulders had a partial-thickness tear, and 15 had a full-thickness tear. The shoulders were assessed with the system described by Neer, UCLA score, ASES score and HAQ score. Results The 23 patients were followed up for 12 months. Patients with both partial and full-thickness rotator cuff tears had significant improvements in terms of pain(P< 0.05) and satisfaction(P< 0.05). Patients who had undergone repair of a partial-thickness tear had improved active elevation. While patients who had undergone repair of a full-thickness tear did not have improved active elevation. Conclusion Rotator cuff repair in patients with rheumatoid arthritis can be challenging. However, durable pain relief and patient satisfaction can be achieved. Functional gains should be expected in patients with partial-thickness rotator cuff tears.更多还原