目的：研究超声引导下髂腰肌囊内注射治疗疑似髂腰肌肌腱病的临床效果。方法：对46例疑似髂腰肌肌腱病患者进行超声引导下泼尼松龙联合利多卡因髂腰肌囊内注射治疗，随访评估治疗效果。分别于注射治疗前和注射治疗后30 min、1 d、1周、4周时采用患者总体感觉（PGIC）量表和数字疼痛分级量表（NRS）评估比较患者的总体感觉和主观疼痛水平，并调查患者对治疗的满意程度。结果：注射治疗后4周54.35%的病人临床相关症状有改善。治疗后30 min、1 d、1周、4周患者NRS评分均较治疗前降低（P<0.01），治疗后30 min NRS评分减少超过50%的患者达54.34%，12例患者4周内未达临床好转。治疗后4周73.91%的患者对治疗表示满意。结论：超声引导下髂腰肌囊内注射治疗疑似髂腰肌肌腱病安全、有效，可使大多数患者在治疗后4周内症状改善或治疗后30 min疼痛明显减轻。

[1] BRICTEUX S,BEGUIN L,FESSY M H.Iliopsoas impingement in 12 patients with a total hip arthroplasty[J].Rev Chir Orthop Reparatrice Appar Mot,2001,87(8):820-825.
[2] GIACONI J C,RIES M D,STEINBACH L S.Stun gun induced myotendinous injury of the iliopsoas and gluteus minimus[J].Skeletal Radiol,2011,40(6):783-787.
[3] BLANKENBAKER D G,TUITE M J,KEENE J S,et al.Labral injuries due to iliopsoas impingement:can they be diagnosed on MR arthrography?[J].AJR Am J Roentgenol,2012,199(4):894-900.
[4] ADLER R S,BULY R,AMBROSE R,et al.Diagnostic and therapeutic use of sonography-guided iliopsoas peritendinous injections[J].AJR Am J Roentgenol,2005,185(4):940-943.
[5] NUNLEY R M,WILSON J M,GILULA L,et al.Iliopsoas bursa injections can be beneficial for pain after total hip arthroplasty[J].Clin Orthop Relat Res,2010,468(2):519-526.
[6] 谢鹏程,吴一鸣,杨京利,等.超声引导下肢多神经联合阻滞在腘窝囊肿切除术中的应用[J].东南大学学报(医学版),2016,35(6):874-877.
[7] 仇继兵,谭长强.鼓室内应用甲基泼尼松龙和庆大霉素治疗自身免疫性膜迷路积水[J].东南大学学报(医学版),2012,31(3):261-267.
[8] 孙玉娥,许华晔,蒋明,等.复方利多卡因乳膏联合麻醉诱导前心理干预在喉罩全麻骨科内固定取出术中的临床观察[J].东南大学学报(医学版),2016,35(6):902-907.
[9] FISCHER D,STEWART A L,BLOCH D A,et al.Capturing the patient's view of change as a clinical outcome measure[J].JAMA,1999,282(12):1157-1162.
[10] CHANDLER S B.The iliopsoas bursa in man[J].Anat Rec,2005,58(3):235-240.
[11] WUNDERBALDINGER P,BREMER C,SCHELLENBERGER E,et al.Imaging features of iliopsoas bursitis[J].Eur Radiol,2002,12(2):409-415.
[12] GROSCLAUDE S,ADAM P,BESSE J L,et al.Iliopsoas bursal distension revealing complication of total hip arthroplasty:five cases[J].Rev Chir Orthop Reparatrice Appar Mot,2006,92(4):351-357.
[13] DORA C,HOUWELING M,KOCH P,et al.Iliopsoas impingement after total hip replacement:the results of non-operative management,tenotomy or acetabular revision[J].J Bone Joint Surg(Br),2007,89(8):1031-1035.
[14] BUCK F M,PFIRRMANN C W,BRUNNER F,et al.The posterolateral fluoroscopy-guided injection technique into the posterior subtalar joint:description of the procedure and pilot study on patient outcomes[J].Skeletal Radiol,2012,41(6):699-705.