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目的探讨肩袖损伤的临床诊断及治疗方法，并评价治疗效果。方法选择我院2006年7月~2011年7月收治的38例肩袖损伤患者，依患者分类采用非手术综合治疗及手术治疗。非手术综合治疗组20例，采取休息制动、中药或非甾体抗炎药口服、外用药物、封闭、牵引等方法。手术组18例采用肩关节关节镜手术治疗，如切除喙肩韧带，肩峰成形，探查修整肩袖，褥式缝合冈上肌腱、冈下肌腱及肩胛下肌腱，术后肩关节外展位石膏固定。结果38例均得到6月以上随访，平均随访l3个月，采用UCLA评分系统评价，其中手术治疗组中优15例，良2例，差l例，术后优良率94.4%，非手术综合治疗组优10例，良6例，差4例，优良率80.0%。结论对于Neer I I、I I期应积极采用手术治疗，是提高效果的关键。“,”Objective To explore the diagnostic method and evaluate curative ef ects on the rotator cuf tear.Methods From July 2006 to July 2011,38 cases of rotator cuf tear were selected for conservative therapy (20 cases)or surgical therapy (18cases)according,to the types of rotator cuf tear.For patients of conservative therapy,the combined therapies,involving the resting.traditional Chinese medicine,NSAIDs,topical drugs.blocking therapy and traction were used.However,the excision of acromiocoracoid ligament through lateral shoulder approach,fol owed by acromial arthroplasty,shoulder cuf repair,mat ress suture for infraspinatus,infraspinatus and subscapularis,and the shoulder fixation at the abduction position after the operation were performed for patients of surgical therapy.Results Al 38 patients were fol owed up for more than 6 months,averagely 13 months.The outcomes were evaluated using scoring system of UCLA.15 shoulders graded excel ent in the group of operations,2 good,1 bad.the excel ent and good result was about 94.4%.10 shoulders graded excel ent in the group of conservative treatment.,6 good,4 bad.The excel ent and good result was about 80.0%.Conclusion Cor ect analysis and diagnosis of the types of rotator cuf tear,and the prompt surgical treatment,especial y for the Neer I and II ,are crucial for improving curative ef ects on rotator cuf tear.