超声介入治疗肩峰下撞击综合征疗效对比分析

目的 研究超声介入治疗肩峰下撞击综合征(SIS)患者的疗效及复发危险因素。 方法 回顾性分析92例SIS患者的临床资料,根据其超声表现进行分型,并分别采用超声引导肩峰下滑囊注射(单纯注射组)以及超声引导肩袖肌腱松解术联合肩峰下滑囊注射(联合治疗组),比较两组术后1周及1,3,6月的疗效差别。 结果两组患者术后1周及1,3,6月的VAS,CMS和OSS评分较术前均有不同程度改善,但术后6月均有复发病例,单纯注射组及联合治疗组的晚期复发率分别为34.9%及10.2%,两组差别有统计学意义(P<0.05)。 结论 对于SIS的患者,采用超声引导下介入治疗有确切的临床疗效; 但对于超声诊断为SIS 2型的患者,应采用超声引导肩袖肌腱松解术联合肩峰下滑囊注射,以降低晚期复发风险。

A Comparative Analysis of Comparative on Efficacy of Ultrasound-guidedInterventional Therapies for Subacromial Impingement Syndrome

Objective To investigate the efficacy and the relapsing risks after ultrasound-guided interventional therapies for subacromial impingement syndrome(SIS). Methods A retrospective clinical study was conducted. 92 patients with SIS were divided into two groups according to different ultrasound-imaged types: 43 of whom received ultrasound-guided subacromial-subdeltoid(SASD)bursa injection(group 1)while 49 received ultrasound-guided rotator cuff fenestration with SASD injection(group 2). Outcomes were compared at 1 week and 1, 3 and 6 months post-therapies. Results The VAS, CMS and OSS scores of the two groups all improved after therapies. However the study also revealed relapse in the late stage. The mean relapsing risk in group 1 was 34.9% vs 10.2% in group 2(P<0.05). Conclusions Patients with SIS were generally functioned well after ultrasound-guided interventional therapies. However, the patients with Type 2 SIS will receive a great reduction of relapsing risk through ultrasound-guided rotator cuff fenestration with SASD injection.