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超声定位下放射状冲击波与聚焦式冲击波治疗肱二头肌长头腱炎疗效研究 预览 被引量:8

Ultrasonic Orientation in the Study of the Effect of Radial Shock Wave Therapy and Focus Shock Wave Therapy on Long Bicipital Tenosynovitis
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摘要 目的通过超卢定位比较放射状冲击波(radialshockwavetherapy,RSWT)与聚焦式冲击波FSWT)治疗肱二头肌长头腱炎的疗效。(focusshockwavetherapy,方法分别采用Dolorclast放射状冲击波治疗机或国产慧康ESWO冲击波治疗机治疗,通过超声定位的43例肱二头肌长头腱炎患者。在治疗前、治疗后即刻、治疗后1个月和3个月利用ASES肩关节评分系统评价,和治疗后6个月远期疗效评价。结果RSWT组与FSWT组的ASES肩关节评分在治疗前差异无统计学意义(P〉O.05),而治疗后即时、1个月和3个月两组ASES肩关节评分同治疗前评分均有统计学意义(P〈0.05)。治疗后6个月RSWT组与FSWT组的有效率分别为90.9%(20/22)和85.7%(18/21),两组比较无统计学差异P〉0.05。结论在超声定位下放射状冲击波与聚焦式冲击波治疗肱二头肌长头腱炎均具有良好疗效,其中放射状冲击波疗法更为安全、无创和无明显并发症等特点。 Objective To compare the effect of radial shock wave therapy and extracorporeal focus shock wave therapy with uhrasonic orientation on long bicipital tenosynovitis. Methods 43 patients with long bicipital tenosynovi lis were divided into two group, which were treated hy radial shock wave machine (EMS, Swiss) and focus shock wave machine ( Huikang, China). ASES scoring system was used to scored the shoulder function before treatment, af ter treament immediate, 1 and 3 months after treament. I,ong term effect was ewduated after 6 months trealnlei'~t. Re- sults There was no statistically significant difference between two groups before treatment (P〉0.05) . hul there was statistically significant difference between after treament inmlediate, 1 and 3 months and before trcatmenl in each group (P~0.05). After six months treatment, the effective rates were 90.9 ~ in radial shock wave group and 85.7 };; in focus shock wave group. Conclusions It has good curative effect in long bicipital tenosynovitis either by radial shock wave therapy or by focus shock wave therapy. However, radial shock wave therapy has more secure, noninva sive and no obvious complications characteristics.
作者 井茹芳 李春伶 赵喆 马秀珠 邢更彦 Jing Rungfang, Li Chunling, Zhao Zhe, et al. Deparlmen* of Ultrasound, General Hospital of Chinese People's Armded Police Forces, Beijing 100039 China
出处 《中国超声医学杂志》 CSCD 北大核心 2013年第5期398-402,共5页 Chinese Journal of Ultrasound in Medicine
关键词 放射状冲击波 聚焦式冲击波 肱二头肌长头腱炎 肩关节评分 超声定位 Radial shock wave therapy, Focus shock wave therapy, I.ong bicipital tenosynovitis, Shoulcterscore, Ultrasonic orientation
作者简介 通讯作者:邢更彦 Email:xgy7766@263.net
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