肌骨超声影像技术在肩痛患者中评估及介入治疗的应用研究

目的:回顾分析肌骨超声影像技术在康复科肩痛门诊开展情况。方法:对我科门诊接受肌骨超声影像引导糖皮质激素注射治疗的所有肩痛患者的一般资料及注射前、后临床资料进行收集,采用肩关节疼痛与功能障碍指数(shoulder pain and disability index,SPADI)量表评估疗效。结果:共纳入接受注射治疗的患者102例,急性肩痛患者单独肩峰下滑囊的注射率高于慢性肩痛患者(P<0.05)。注射前、后完成评估及随访的患者共71例(75例患肩),与注射前相比,注射后1周、1个月、3个月患者肩关节疼痛评分显著下降(P<0.0083),功能障碍评分明显改善(P<0.0083)。结论:在康复科门诊接受注射治疗的肩痛患者以中老年为主;常见注射部位是肩周滑囊和肱二头肌长头腱鞘;急性肩痛患者单独肩峰下滑囊注射率较高;超声影像引导糖皮质激素注射治疗肩痛定位精准、疗效显著且效果稳定。

The application of musculoskeletal ultrasound imaging technique in evaluation and interventional therapy of shoulder pain

Objective: To retrospectively analyze the application of musculoskeletal ultrasound imaging technique in rehabilitation clinic of shoulder pain. Method: The general information and clinical information of outpatients who received musculoskeletal ultrasound guided injection of glucocorticoid to the shoulder were collected and Shoulder Pain and Disability Index (SPADI) was used to evaluate the curative effect. Result: Totally 102 patients receiving injection were included. Compared with chronic shoulder pain patients, the incidence of single subacromialbursa injection was higher in acute shoulder pain patients(P<0.05).71 patients (75 affected shoulders) were evaluated and followed up before and after injection. The shoulder pain index decreased( P<0.0083)significantly and the shoulder disability index improved(P<0.0083)significantly at 1 week,1 month and 3 months after injection comparing with that before injection. Conclusion: Middle-old-aged patients were the main population who received injection therapy in rehabilitation clinic. Shoulder bursa and the tendon sheath of long head of biceps brachii were common injection sites. The incidence of single subacromial bursa injection was higher in acute shoulder pain patients than that in chronic shoulder pain patients. Ultrasound guided corticosteroid injection for the treatment of shoulder pain is accurate, effective and stable.