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\u57282019\u5e74BMJ\u5c31\u63d0\u51fa\u80a9\u5cf0\u4e0b\u75bc\u75db\u7efc\u5408\u5f81 \uff08SAPS\uff09\u7684\u60a3\u8005\u4e0d\u63a8\u8350\u80a9\u5cf0\u4e0b\u6e05\u7406\uff08\u5305\u542b\u80a9\u5cf0\u6210\u5f62\uff09\u3002\u57282022\u5e74arthroscopy\u6742\u5fd7\u66f4\u662f\u53d1\u8868\u4e86\u793e\u8bba\uff1a\u80a9\u5173\u8282\u955c\u4e0b\u6e05\u7406\u5e76\u4e0d\u662f\u80a9\u5cf0\u649e\u51fb\u7684\u63a8\u8350\u6cbb\u7597\u65b9\u5f0f\uff01\u90a3\u5728\u80a9\u8896\u4fee\u8865\u7684\u540c\u65f6\u662f\u4e0d\u662f\u9700\u8981\u8fdb\u884c\u80a9\u5cf0\u6210\u5f62\uff1f \u80a9\u5cf0\u6210\u5f62\u672f\u7684\u4e3b\u8981\u597d\u5904\uff1a1\uff09\u5728\u80a9\u5cf0\u4e0b\u64cd\u4f5c\u65f6\u80fd\u6269\u5927\u64cd\u4f5c\u7a7a\u95f4\uff0c2\uff09\u51cf\u5c11\u80a9\u5cf0\u4e0b\u9aa8\u8d58\uff0c\u5c24\u5176\u662fIII\u578b\u80a9\u5cf0\u649e\u51fb\u7684\u98ce\u9669\uff0c3\uff09\u9aa8\u9762\u65b0\u9c9c\u5316\u540e\u80fd\u91ca\u653e\u4e00\u4e9b\u751f\u957f\u56e0\u5b50\uff0c\u6539\u5584\u80a9\u8896\u6108\u5408\u3002\u7136\u800c\u80a9\u5cf0\u6210\u5f62\u4e5f\u5e26\u6765\u76f8\u5e94\u7684\u5f0a\u7aef\uff1a1\uff09\u4f1a\u5bfc\u81f4\u4e09\u89d2\u808c\u7684\u65e0\u529b\uff0c\u5c24\u5176\u662f\u5728\u80a9\u5cf0\u5916\u4fa7\u7f18\u5207\u9664\u8fc7\u591a\u65f6\uff0c2\uff09\u5bfc\u81f4\u80a9\u5cf0\u4e0b\u95f4\u5ba4\u7622\u75d5\u5f62\u6210\uff0c\u9650\u5236\u80a9\u5173\u8282\u6d3b\u52a8\u5ea6\uff0c3\uff09\u589e\u52a0\u80b1\u9aa8\u524d\u4e0a\u65b9\u9003\u9038\u7684\u98ce\u9669\uff0c\u7279\u522b\u662f\u5728\u80a9\u8896\u6495\u88c2\u5927\u81f3\u5de8\u5927\u7684\u60a3\u8005\u4e2d\u3002\u57282010\u5e74\uff0c\u968f\u7740\u7f8e\u56fd\u9aa8\u79d1\u533b\u5e08\u5b66\u4f1a\uff08The American Academy of Orthopaedic Surgeons \uff0cAAOS\uff09\u57282010\u5e74\u5de6\u53f3\u53d1\u8868\u4e86\u5173\u4e8e\u80a9\u8896\u4fee\u8865\u7684\u4e34\u5e8a\u6307\u5357\uff08Clinical Practice Guidelines\uff0cCPGs)\uff0c\u81ea2010\u5e74\u5f00\u59cb\uff0c\u80a9\u8896\u4fee\u8865\u5305\u542b\u80a9\u5cf0\u6210\u5f62\u7684\u6bd4\u4f8b\u4ece84%\u4e0b\u964d\u52302018\u5e74\u768474%\uff0c\u4f46\u662f\u8fd9\u91cc\u9762\u53ef\u4ee5\u770b\u5230\u6559\u5b66\u533b\u9662\u4ece2010\u5e74\u52302018\u5e74\u8fd9\u4e00\u6bd4\u4f8b\u53d8\u5316\u4e0d\u5927\u3002<\/p>\n
\u57282015\u5e74\u6709\u7cfb\u7edf\u7efc\u8ff0\u76f4\u63a5\u6307\u51fa\uff0c\u5bf9\u4e8e\u5168\u5c42\u7684\u80a9\u8896\u635f\u4f24\u80a9\u5cf0\u6210\u5f62\/\u5599\u80a9\u97e7\u5e26\u677e\u89e3\u5e76\u4e0d\u4f1a\u660e\u663e\u63d0\u9ad8\u80a9\u8896\u4fee\u8865\u672f\u540e\u60a3\u8005\u7684\u4e34\u5e8a\u77ed\u671f\u9884\u540e\uff0c\u540c\u65f6\u6587\u7ae0\u8fd8\u4e13\u95e8\u6307\u51fa\u5728\u67d0\u4e9b\u60c5\u51b5\u4e0b\uff0c\u90e8\u5206\u7684\u80a9\u5cf0\u6210\u5f62\u672f\u548c\u5599\u80a9\u97e7\u5e26\u677e\u89e3\u53ef\u80fd\u4f1a\u5bfc\u81f4\u524d\u65b9\u7684\u9003\u9038\u548c\u75c7\u72b6\u7684\u52a0\u91cd\uff0c\u5728\u540e\u7eed\u7684\u7814\u7a76\u53d1\u73b0\u5c24\u5176\u662f\u5bf9\u4e8e\u5de8\u5927\u80a9\u8896\uff0c\u80a9\u5cf0\u6210\u5f62\u4f1a\u5bfc\u81f4\u4e0a\u8ff0\u60c5\u51b5\u7684\u53d1\u751f\u3002<\/p>\n
\u57282020\u5e742\u6708\uff0c\u6709\u6587\u732e\u7efc\u8ff0\u4e86\u80a9\u8896\u90e8\u5206\u635f\u4f24\u7684\u60a3\u8005\uff0c\u5728\u8fdb\u884c\u80a9\u8896\u76f8\u5e94\u5904\u7406\u7684\u540c\u65f6\u8fdb\u884c\u80a9\u5cf0\u6210\u5f62\uff0c\u5176\u4e34\u5e8a\u9884\u540e\u5e76\u65e0\u660e\u663e\u6539\u5584\u3002 \u57282021\u5e7410\u6708\u7684arthroscopy\u6742\u5fd7\u66f4\u662f\u53d1\u8868\u4e86\u4e00\u7bc7\u968f\u673a\u5bf9\u7167\u7814\u7a76\uff0c\u5728\u5e73\u5747\u968f\u8bbf7.5\u5e74\u540e\u53d1\u73b0\uff0c\u5728\u80a9\u8896\u4fee\u8865\u672f\uff08\u8054\u5408\u6216\u4e0d\u8054\u5408\u80a9\u5cf0\u6210\u5f62\uff09\u7684\u60a3\u8005\uff0c\u60a3\u8005\u6ee1\u610f\u7387\u3001\u518d\u6495\u88c2\u7387\u6216\u7ffb\u4fee\u7387\u7b49\u65b9\u9762\u5747\u6ca1\u6709\u660e\u663e\u5dee\u5f02\u3002<\/p>\n
\u80af\u5b9a\u6709\u5c0f\u4f19\u4f34\u4f1a\u95ee\uff0c\u662f\u4e0d\u662f\u80a9\u5cf0\u5f62\u6001\u5165\u7ec4\u6709\u5dee\u5f02\uff0c\u5176\u5b9e\u4e24\u7ec4\u95f4\u5e76\u6ca1\u6709\u660e\u663e\u5dee\u5f02\uff01<\/p>\n<\/p>\n
\u800c\u5728\u63a5\u4e0b\u6765\u7684\u793e\u8bba\u4e2d\u7f16\u8f91\u66f4\u662f\u6307\u51fa\uff1a\u80a9\u8896\u4fee\u8865\u65f6\u80a9\u5cf0\u6210\u5f62\u5e76\u4e0d\u4f1a\u6539\u5584\u4e34\u5e8a\u9884\u540e\uff0c\u751a\u81f3\u7528\u5230\u4e86\u201cThe Game Is Over\u201d\u6765\u5bf9\u8fd9\u4e00\u7ed3\u8bba\u8fdb\u884c\u8868\u8ff0\uff01\u5e76\u6e90\u5f15\u4e86\u7231\u56e0\u65af\u5766\u7684\u8bdd\u201cIf we knew what it was we were doing, it would not be called research, would it?\u201d\u5e0c\u671b\u5927\u5bb6\u5728\u5bf9\u4e00\u4e9b\u523b\u677f\u7684\u8ba4\u77e5\u8981\u6709\u6311\u6218\u7cbe\u795e\uff0c\u53ef\u80fd\u4f60\u4e00\u76f4\u4ee5\u4e3a\u7684\u5bf9\u7684\uff0c\u4e0d\u4e00\u5b9a\u662f\u771f\u7684\u5bf9\u7684\uff01<\/p>\n
\u57282022\u5e7412\u6708\u7684JBJS\u7684\u6587\u7ae0\u4e2d\u6307\u51fa\uff0c\u80a9\u8896\u4fee\u8865\u672f\u4e2d\u8054\u5408\u6216\u4e0d\u8054\u5408\u80a9\u5cf0\u6210\u5f62\u7684\u60a3\u8005\u5728\u957f\u671f\u968f\u8bbf\uff08\u5e73\u574711\u5e74\uff09\u672f\u540e\u4e34\u5e8a\u6548\u679c\u90fd\u6709\u7740\u660e\u663e\u7684\u6539\u5584\uff0c\u8fdb\u884c\u548c\u4e0d\u8fdb\u884c\u80a9\u5cf0\u6210\u5f62\u672f\u7ec4\u60a3\u8005\u4e4b\u95f4\u7684WORC\u8bc4\u5206\u6ca1\u6709\u663e\u8457\u5dee\u5f02\uff08P=0.30\uff09\u3002\u672a\u8fdb\u884c\u80a9\u5cf0\u6210\u5f62\u672f\u7684\u60a3\u8005\u672f\u524dWORC\u8bc4\u5206\u4e3a33.1\u5206\uff0c\u957f\u671fWORC\u8bc4\u520676.1\u5206\uff0c\u800c\u8fdb\u884c\u80a9\u5cf0\u6210\u5f62\u624b\u672f\u7684\u60a3\u8005\u672f\u540eWORC\u8bc4\u520638.6\u5206\uff0c\u957f\u671fWORC\u8bc4\u520682.2\u5206\u3002\u4f46\u662f\u5728\u672a\u8fdb\u884c\u80a9\u5cf0\u6210\u5f62\u7684\u60a3\u8005\u4e2d\uff0c 2 \u578b\u6216 3 \u578b\u80a9\u5cf0\u60a3\u8005\u518d\u624b\u672f\u7387\u663e\u8457\u66f4\u9ad8\u3002<\/p>\n
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\u53c2\u8003\u6587\u732e<\/p>\n
1.Woodmass JM, Al Khatib L, McRae S, Lapner P, Mascarenhas R, Neogi D, MacDonald PB. Arthroscopic Rotator Cuff Repair with and without Acromioplasty in the Treatment of Full-Thickness Rotator Cuff Tears: Long-Term Outcomes of a Multicenter, Randomized Controlled Trial. J Bone Joint Surg Am. 2022 Dec 7;104(23):2101-2107. 2.Willenbring TJ, DeVos MJ, Warth RJ, Gregory JM. Trends in Acromioplasty Utilization During Arthroscopic Rotator Cuff Repair: An Epidemiological Study of 139,586 Patients. J Am Acad Orthop Surg Glob Res Rev. 2022 Apr 1;6(4):e22.00075.<\/p>\n
3.Vandvik PO, L\u00e4hdeoja T, Ardern C, Buchbinder R, Moro J, Brox JI, Burgers J, Hao Q, Karjalainen T, van den Bekerom M, Noorduyn J, Lytvyn L, Siemieniuk RAC, Albin A, Shunjie SC, Fisch F, Proulx L, Guyatt G, Agoritsas T, Poolman RW. Subacromial decompression surgery for adults with shoulder pain: a clinical practice guideline. BMJ. 2019 Feb 6;364:l294. <\/p>\n
4.Eraghi AS. Acromioplasty in the surgical operations of partial-thickness rotator cuff tears: A comprehensive review. J Family Med Prim Care. 2020 Feb 28;9(2):520-525. <\/p>\n
5.Familiari F, Gonzalez-Zapata A, Iann\u00f2 B, Galasso O, Gasparini G, McFarland EG. Is acromioplasty necessary in the setting of full-thickness rotator cuff tears? A systematic review. J Orthop Traumatol. 2015 Sep;16(3):167-74. doi: 10.1007\/s10195-015-0353-z. Epub 2015 May 24. <\/p>\n","protected":false},"excerpt":{"rendered":"
\u80a9\u5cf0\u4e0b\u95f4\u9699\u5728\u80a9\u5173\u8282\u4e2d\u6709\u7740\u72ec\u6709\u7684\u5730\u4f4d\uff0c\u5f88\u591a\u7684\u64cd\u4f5c\u90fd\u4f1a\u5728\u80a9\u5cf0\u4e0b\u95f4\u9699\u8fdb\u884c\u64cd\u4f5c\uff0c\u5c24\u5176\u662f\u80a9 … \u7ee7\u7eed\u9605\u8bfb