摘要
肩袖部分撕裂(PTRCT)是导致患者肩关节疼痛及活动受限的一种常见临床疾病,与年龄相关的退行性病变及急性创伤是导致PTRCT的主要原因。超声、MRI及MRA检查有助于PTRCT的诊断,而关节镜检查是诊断PTRCT的“金标准”。PTRCT的治疗方式包括非手术治疗及手术治疗,当非手术治疗方式失败时,可采用手术治疗。手术治疗主要包括关节镜下清创术和关节镜下PTRCT修复术。此外,生物技术与生物支架技术用于治疗PTRCT可能会有良好的临床效果,但仍需进一步的研究来明确其作用机制、长期疗效、完善操作标准以实现标准化应用。
Partial⁃thickness rotator cuff tear(PTRCT)is a common clinical disease that causes shoulder pain and limited movement.Age⁃related degenerative changes and acute trauma are the main causes of PTRCT.Ultrasonography,MRI,and MRA can assist in the diagnosis of PTRCT,while arthroscopy is considered the“gold standard”for diagnosis.Treatment options for PTRCT include non⁃surgical and surgical methods.Surgery may be considered when non⁃surgical treatments fail.Surgical treatments mainly involve arthroscopic debridement and arthroscopic PTRCT repair.In addition,biotechnology and biological scaffold techniques may offer good clinical outcomes in treating PTRCT,but further research is needed to clarify their mechanisms of action,long⁃term efficacy,and to refine operation standards for standardized application.
作者
邱钰
谢子康
Qiu Yu;Xie Zi-kang(Orthopedics and Traumatology Department,Changzhou Affiliated Hospital of Nanjing University of Chi-nese Medicine,changzhou,213000,China)
出处
《岭南现代临床外科》
2025年第6期410-414,F0003,共6页
Lingnan Modern Clinics in Surgery
关键词
肩袖部分撕裂
病因病机
诊断
治疗
进展
partial⁃thickness rotator cuff tear
etiology and pathogenesis
diagnosis
treatment
progress
