[1]刘佳宁,任逸众.超声引导下双针经皮穿刺术联合肩峰下滑囊封闭治疗冈上肌钙化性肌腱炎的短期疗效[J].中华老年骨科与康复电子杂志,2017,(06):367-371.[doi:10.3877/cma.j.issn.2096-0263.2017.06.010]
　Liu Jianing,Ren Yizhong..The short-term outcomes of ultrasound-guided double-needle percutaneous combined with steroid injection in treatment of supraspinatus calcific tendinitis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(06):367-371.[doi:10.3877/cma.j.issn.2096-0263.2017.06.010]
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超声引导下双针经皮穿刺术联合肩峰下滑囊封闭治疗冈上肌钙化性肌腱炎的短期疗效()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2017年06期
页码:
367-371
栏目:
论著
出版日期:
2017-11-27

文章信息/Info

Title:
The short-term outcomes of ultrasound-guided double-needle percutaneous combined with steroid injection in treatment of supraspinatus calcific tendinitis
作者:
刘佳宁 1; 任逸众 2
024000 赤峰学院附属医院超声科 1；010000 呼和浩特，内蒙古医科大学第二附属医院运动医学外科 2
Author(s):
Liu Jianing1;  Ren Yizhong2.
1Department of Ultrasonography, Hospital Affiliated to Chifeng College, Chifeng 024000, China; 2Department of Sports Medicine, the Second Affiliated Hospital of Inner Mongolia Medical University, Huhehaote 010000, China
关键词:
超声检查;  腱炎;  钙质沉着;  冈上肌
Keywords:
Ultrasonography;  Tendinitis;  Calcinosis;  supraspinatus
DOI:
10.3877/cma.j.issn.2096-0263.2017.06.010
文献标志码:
A
摘要:
目的 评价采用超声引导下双针经皮穿刺术联合肩峰下滑囊封闭治疗冈上肌钙化性肌腱炎的临床疗效。方法 回顾性分析 2011年 6月至 2016年 6月 32例就诊于内蒙古赤峰学院附属医院，采用超声引导下双针经皮穿刺术联合肩峰下滑囊封闭治疗的冈上肌钙化性肌腱炎患者的临床资料，男性 10 例，女性 22 例；左侧 11 例，右侧 21 例；年龄 32～73 岁，平均（50±10）岁。采用疼痛视觉模拟评分法（VAS）评分、Constant-Murley肩关节功能评分、加州大学肩关节评分系统（UCLA）及 X线检查评估治疗效果。结果 所有患者均获得满意随访，随访时间 6～18个月，平均（14±4）个月。末次随访时 VAS评分由术前的（7.0±1.8）分降至（1.6±1.3）分，Constant-Murley评分由术前的（41±8）分提升至（90±6）分，UCLA 评分由（15±3）分提升至（32±3）分，差异均具有统计学意义（t=19.747，t=40.169，t=23.187，P＜0.05）。末次随访时优良率为 81.3%（26/32）。其中有 8例患者钙化灶部分消失，其余患者钙化灶全部消失，无其它相关并发症发生。结论 超声引导下双针经皮穿刺术联合肩峰下滑囊封闭治疗冈上肌钙化性肌腱炎的短期疗效良好且安全性较高，具有创伤小、恢复快、花费少、并发症发生率低、无需住院等优点。
Abstract:
Objective To explore the short- term outcomes of ultrasound- guided double- needle percutaneous combined with steroid injection in the treatment of supraspinatus calcific tendinitis. Methods A retrospective study in 32 cases of supraspinatus calcifictendinitis treated in Hospital Affiliated to Chifeng College from June 2011 to June 2016 were performed, using ultrasound-guided double-needle percutaneous combined with steroid injection. There were 10 males and 22 females with a mean age of 50±10 years old (range, 32-73 years). 11 left and 21 right shoulders were involved. VAS score, Constant-Murley score, UCLA scoring system and X- Ray examination before and at the last follow- up were recorded and compared . Results All 32 patients received an average of 14±4 months (range, 6-18 months) followe-up. The VAS score was decreased from 7.0±1.8 preoperatively to 1.6±1.3 at final follow-up, the Constant-Murley score was increased from 41 ± 8 to 90 ± 6, and the UCLA score was increased from 15 ± 3 to 32 ± 3, significant differences were found (t=19.747, t=40.169, t=23.187, P＜0.05). The excellent rate was 81.3% (26/32). The radiographs showed reservation of partially calcified deposit in 8 patients, others had complete recovery. There were no other related complications. Conclusion Ultrasound- guided double- needle percutaneous combined with steroid injection in the treatment of supraspinatus calcific tendinitis is a safe and effective treatment for supraspinatuscalcific tendinitis with the advantages of minimally invasive, fast recovery, low cost, low complication rate and no need for hospitalization.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：内蒙古自治区自然科学基金（2016MS0366）
更新日期/Last Update: 2017-11-28