[1]刘晓娜,刘强,梁英,等.超声介入与冲击波治疗肱二头肌长头腱鞘炎的临床研究[J].中华老年骨科与康复电子杂志,2017,(06):346-350.[doi:10.3877/cma.j.issn.2096-0263.2017.06.006]
 Liu Xiaona,Liu Qiang,Liang Ying,et al.Clinical study of interventional ultrasound and shock wave treatment of tenosynovitis of long head of biceps brachii[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(06):346-350.[doi:10.3877/cma.j.issn.2096-0263.2017.06.006]
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超声介入与冲击波治疗肱二头肌长头腱鞘炎的临床研究()
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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:
346-350
栏目:
论著
出版日期:
2017-11-27

文章信息/Info

Title:
Clinical study of interventional ultrasound and shock wave treatment of tenosynovitis of long head of biceps brachii
作者:
刘晓娜刘强梁英王春芳黄旭丽
030001 太原,山西医科大学 1;030032 太原,山西医科科学院 山西大医院骨科 2;康复医学科 3;太原 030001,山西医科大学实验动物中心,实验动物与人类疾病动物模型山西省重点实验室
Author(s):
Liu Xiaona Liu Qiang Liang Ying Wang Chunfang Huang Xuli
Shanxi Medical University, Taiyuan 030001, China; 2Department of Orthopedics, 3Department of Rehabilitation Medicine, Shanxi Academy of Medical Sciences, Shanxi Da Yi hospital, Taiyuan 030032, China; 4Laboratory Animal Center, Shanxi Key Laboratory of Experimental Animal Science and Human Disease Animal Model, Shanxi Medical University, Taiyuan 030001, Shanxi, China
关键词:
超声介入 腱鞘炎 骨骼肌
Keywords:
Ultrasonography interventional Tenosynovitis Muscle skeletal
DOI:
10.3877/cma.j.issn.2096-0263.2017.06.006
文献标志码:
A
摘要:
目的 研究肌骨超声介入下复方倍他米松注射治疗与放射式冲击波治疗对肱二头肌长头腱鞘炎的临床疗效。方法 回顾性收集 2014年 12月至 2016年 11月山西大医院收治的 72例经核磁共振成像(MRI)检查及查体均确诊为肱二头肌长头腱鞘炎的患者,根据不同治疗方法分为肌骨超声介入下复方倍他米松注射治疗组(超声介入组,n=42)及冲击波治疗组(n=30),分别于治疗前,治疗后即刻、1 w、2 w及 5 w评定患侧肩的 VAS评分、肩关节主动前屈关节活动度(AFROM)及肱二头肌抗阻力试验。结果 超声介入组 VAS 评分下降、AFROM 增加较冲击波治疗组明显,差异具有统计学意义(F=84.880,F=176.080,P<0.01);与冲击波治疗组相比,超声介入组的肱二头肌抗阻力试验治疗后 1 w、 2 w 后肱二头肌抗阻力阳性率明显下降,差异具有统计学意义(c2=64.286,c2=54.460,P<0.01)。结论肌骨超声介入治疗肱二头肌长头腱鞘炎可快速缓解疼痛,改善肩关节活动度。
Abstract:
Objective To study the clinical curative effect of betamethasone injection guided by musculoskeletal ultrasound and radial shock wave therapy for tenosynovitis of long head of biceps brachii. Methods A respectively study performed in 72 patients of tenosynovitis of long head of biceps brachii by MRI admitted to Affiliated Hospital of Shanxi Medical University from December 2014 to November 2016, they were diagnosed as and were divided into betamethasone injection guided by musculoskeletal ultrasound group (n=42) and radial shock wave therapy group (n=30) according to different treatment methods. VAS score, active shoulder flexion joint activity and biceps resistance test were recorded before treatment, immediately and 1 weeks, 2 weeks and 5 weeks after treatment. Results VAS score in betamethasone injection guided by musculoskeletal ultrasound group was decreased, while active flexion joint activity were lower than radial shock wave therapy group, difference was statistically significant (F=84.880, F=176.080, P<0.01). The positive rate of biceps resistance test in betamethasone injection guided by musculoskeletal ultrasound group at 1 week and 2 weeks after treatment were lower than radial shock wave therapy group, differences were statistically significant (c2=64.286, c2=54.460, P<0.01). Conclusion Musculoskeletal ultrasound intervention can quickly relieve the pain, improve the activity of shoulder join in the treatment of tenosynovitis of long head of biceps brachii

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:山西省卫生计生委科研课题项目(2015012)
更新日期/Last Update: 2017-11-28