超声引导下肩胛上神经阻滞结合针刺治疗肩袖钙化性肌腱炎

目的:探讨超声引导下肩胛上神经阻滞结合针刺技术治疗肩袖钙化性肌腱炎的方法与疗效。方法 :回顾分析2015年1月至2017年12月收治的23例冈上肌腱、5例冈下肌腱、2例肩胛下肌腱钙化性炎患者行超声引导下肩胛上神经阻滞结合针刺技术治疗的效果。其中男7例,女23例;年龄36～71岁,平均51.6岁;右侧17例,左侧13例。采用VAS疼痛评分、Constant-Murley评分、UCLA评分及X线检查对患者进行手术前后的评估。结果:所有患者获得随访,时间6～30个月,平均14.3个月,症状均得到明显改善。术前VAS评分3.82±1.13,Constant-Murley评分36.91±7.95,UCLA评分11.35±2.17;末次随访分别为1.32±1.06、90.61±2.89、33.22±1.51,末次随访评分均改善(P0.05)。结论:保守治疗无效的肩袖钙化性肌腱炎,行超声引导下肩胛上神经阻滞结合针刺治疗效果良好,是一种创伤小、经济、安全、有效的方法,值得推广。

Ultrasound-guided suprascapular nerve block combined with acupuncture for the treatment of calcified tendinitis of rotator cuff

Objective:To explore the method and effect of ultrasound-guided suprascapular nerve block combined with acupuncture in the treatment of calcified tendinitis of rotator cuff.Methods:From January 2015 to December 2017,total 30 patients with calcified tendinitis,including 23 cases of supraspinatus tendon,5 cases of infraspinatus tendon and 2 cases of subscapular tendon,were treated with ultrasound-guided suprascapular nerve block combined with acupuncture. There were 7 males and 23 females,ranging in age from 36 to 71 years old,with an average of 51.6 years old. There were 17 cases on the right and 13 cases on the left. VAS pain score,Constant-murley score,UCLA score and X-ray examination were used to evaluate the clinical results before and after surgery.Results:The mean follow-up was 14.3 months (6 to 30 months). The preoperative VAS score was 3.82±1.13,Constant-Murley score was 36.91±7.95 and UCLA score was 11.35±2.17. The final follow-up scores were 1.32±1.06,90.61±2.89 and 33.22±1.51,respectively. The final follow-up scores were improved significantly(P<0.05).Conclusion:Conservative treatment of calcified rotator cuff tendinitis is ineffective. Suprascapular nerve block guided by ultrasound combined with acupuncture has a good therapeutic effect. It is a minimally invasive,economic,safe and effective method,which is worth promoting.