富血小板血浆与体外冲击波治疗慢性跟腱止点腱病的疗效比较

目的:比较富血小板血浆(platelet rich plasma,PRP)与体外冲击波治疗慢性跟腱止点腱病的临床疗效。方法:2019年2月至2021年8月,根据病例选择最终纳入42例跟腱止点腱病患者,分为PRP组(20例28足)与冲击波组(22例29足)。PRP组男12例,女8例;年龄47.00(28.00,50.75)岁;病程7.00(6.00,7.00)个月;予患侧跟腱止点区域进行富血小板血浆注射治疗。冲击波组男16例,女6例;年龄42.00(35.75,47.25)岁;病程7.00(6.00,8.00)个月;予患侧跟腱止点区及小腿三头肌区域进行冲击波治疗。分别于治疗前及治疗后1、3、6个月采用疼痛视觉模拟评分(visual analogue scale,VAS)及维多利亚体育研究中心跟腱问卷表(Victorian Institute of Sport Assessment-Achilles,VISAA)评分进行疗效评价,并对所有患者进行满意度调查。结果:两组治疗1、3、6个月后VAS及VISA-A评分均较治疗前改善(P<0.05);PRP组治疗6个月后VAS及VISA-A评...

Comparison of efficacy of platelet-rich plasma and extracorporeal shock wave for the treatment of chronic insertional Achilles tendinopathy

Objective To compare clinical efficacy of platelet-rich plasma (PRP) and extracorporeal shock wave in treating chronic insertional Achilles tendinopathy.Methods From February 2019 to August 2021,42 patients with chronic insertional Achilles tendinopathy were selected and divided into PRP group(20 patients,28 feet) and shock wave group (22 patients,29 feet). In PRP group,there were 12 males and 8 females,aged 47.00(28.00,50.75) years old,and the courses of disease ranged 7.00(6.00,7.00) months;PRP injection was performed in the Achilles tendon stop area of the affected side. In shock wave group,there were 16 males and 6 females,aged 42.00(35.75,47.25) years old;and the courses of disease was 7.00(6.00,8.00) months;shock wave was performed in Achilles tendon stop area of the affected side and triceps surae area. Visual analogue scale (VAS) and Victorian Institute of Sport Assessment-Achilles (VISA-A) were applied to evaluate clnical effect before treatment,1,3 and 6 months after treatment,and satisfaction of patients was investigated.Results VAS and VISA-A score in both groups were significantly improved at 1,3 and 6 months after treatment than before treatment (P<0.05),VAS and VISA-A score in PRP group at 6 months after treatment were significantly higher than those at 1 and 3 months after treatment,and VAS and VISA-A score in shock wave group were lower than those at 1 and 3 months after treatment (P<0.05). There was no significant difference in VAS and VISA-A score between two groups before treatment,1 and 3 months after treatment(P>0.005),while VAS and VISA-A score in PRP group were better than those in shock wave group at 6 months after treatment(P<0.05),and the satisfaction survey in PRP group was better than that in shock wave group(P<0.05).Conclusion PRP injection has a good clinical effect on chronic insertional Achilles tendinopathy with high patient satisfaction,and medium-and long-term effect of PRP injection for the treatment of chronic insertional Achilles tendinopathy is better than that of extracorporeal divergent shock wave.