弹性超声在针刀治疗冈上肌肌腱炎瘢痕组织应用中的价值-现代医学

弹性超声在针刀治疗冈上肌肌腱炎瘢痕组织应用中的价值

单位：江苏省中西医结合医院, 江苏南京 210028

分类号：R445.1;R686.1

出版年·卷·期（页码）：2017·36·第九期（1240-1243）

摘要：

目的：探讨超声弹性成像技术在针刀治疗冈上肌肌腱炎应用中的价值。方法：52例冈上肌肌腱炎患者都进行弹性超声检查并标记治疗靶点，随机分成针刀治疗组和对照组两组，然后对治疗组治疗前后弹性应变率变化和两组的疗效进行评价。结果：针刀治疗组治疗后弹性应变率明显增加并且疗效明显高于对照组（P<0.05）。结论：弹性应变率能作为针刀治疗冈上肌肌腱炎疗效评价的一个指标。

Objective: To investigate the application value of ultrasound elastography in the needle-knife treatment for tendinitis of supraspinatus muscle. Methods: 52 cases of supraspinatus tendinitis patientschecked by elastic ultrasonography and marked therapeutic targets were randomly divided intoacupuncture treatment group andcontrol group, and then the strain rate of treatment groupbefore and after treatment and the curative effect oftwo groups were evaluated. Results: The strain rate ofthe acupuncture treatment group after treatment was significantly increased thanthat of the control group (P<0.05). Conclusion: The strain rate can be an indicator for evaluation of curative effect of needle-knife treatment of tendinitis of supraspinatus muscle.

参考文献：

[1] 王玉国,林红军,蒋昭霞,等.弹性超声在针刀治疗胫骨结节骨软骨炎靶点定位的应用价值[J].现代医学,2015,43(11):1420-1423.
[2] MCSHANEJ M,NAZARIAN L N,HARWOODM I.Sonographically guided percutaneous needle tenotomy for treatment of common extensor tendinosis in the elbow[J].J Ultrasound Med,2006,25(10):1281-1283.
[3] MCSHANE J M,SHAH V N,NAZARIANL N.Sonographically guided percutaneous needle tenotomy for treatment of common extensor tendinosis in the elbow:is a corticosteroid necessary?[J].J Ultrasound Med,2008,27(8):1137-1138.
[4] FARINP U,RASANEN H,JAROMA H,et al.Rotator cuff calcifications:treatment with ultrasound-guided percutaneous needle aspiration and lavage[J].Skeletal Radiol,1996,25(6):551-552.
[5] PFISTERJ,GERBERH.Chronic calcifying tendinitis of the shoulder-therapy by percutaneous needle aspiration and lavage:a prospective open study of 62 shoulders[J].Clin Rheumatol,1997,16(3):269-271.
[6] DEL C J,TORRE I,ZABALA R,et al.Sonographically guided percutaneous needle lavage in calcific tendinitis of the shoulder:short-and long-term results[J].AJR Am J Roentgenol,2007,189(3):W128.
[7] 朱家安,胡兵,翟伟涛,等.超声引导下治疗钙化性冈上肌腱炎的初步研究[J].中华超声影像学杂志,2005,14(8):604-605.
[8] ZHU J,JIANG Y,HU Y,et al.Evaluating the long-term effect of ultrasound-guided needle puncture without aspiration on calcifying supraspinatus tendinitis[J].Adv Ther,2008,25(11):1229-1231.
[9] MIYASHITA H,OCHI M,IKUTAY.Histological and biomechanical observations of the rabbit patellar tendon after removal of its central one-third[J].Arch Orthop Trauma Surg,1997,116(8):454-455.
[10] JARVINENT A,JARVINENT L,KANNUS P,et al.Collagen fibres of the spontaneously ruptured human tendons display decreased thickness and crimp angle[J].J Orthop Res,2004,22(6):1303-1304.
[11] CHAN B P,FU S C,QIN L,et al.Pyridinoline in relation to ultimate stress of the patellar tendon during healing:an animal study[J].J Orthop Res,1998,16(5):597-598.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录