超声引导下改良经皮抽吸治疗钙化性冈上肌腱炎效果研究

目的 分析超声引导下改良经皮抽吸治疗钙化性冈上肌腱炎效果及安全性。方法 选取2017年1月—2019年1月期间,我院收治的钙化性冈上肌腱炎患者60例作为研究对象。根据随机数字表原则,将患者分为对照组和观察组,每组各30例。对照组患者在超声引导下行单针头经皮抽吸治疗,观察组患者在超声引导下行双针头经皮抽吸治疗。分别在术前、治疗后3d、7d、1个月、6个月,利用数字评价量表(NRS)评价患者疼痛程度,利用美国加州大学肩关节评分系统(UCLA)和Constant-Murley肩关节功能评分系统评价患者肩关节功能和活动范围。比较两组患者DR片检查结果及二次、三次治疗比率。同时记录治疗和随访期间不良反应发生情况,以评价安全性。结果 NRS方面,两组患者治疗前比较,差异无统计学意义(P＞0.05),治疗后3d、7d时,观察组患者NRS评分低于对照组,差异具有统计学意义(P＜0.05),治疗后1个月、6个月时,两组患者NRS评分比较,差异无统计学意义(P＞0.05)。UCLA评分和Constant-Murley评分方面,两组患者治疗前比较,差异无统计学意义(P＞0.05),治疗后3d、7d、1个月、6个月时,两组上述评分比较,差异无统计学意义(P＞0.05)。观察组患者DR片结果显示,治疗后7d时,钙化灶减小或消失。观察组患者二次、三次治疗比率低于对照组,差异具有统计学意义(P＜0.05)。两组患者治疗期间不良反应发生率比较,差异无统计学意义(P＞0.05)。结论 相比于传统超声引导下单针头经皮抽吸术,超声引导下改良经皮抽吸治疗钙化性冈上肌腱炎,尽管不能改善患者肩功能和活动范围,但可在早期减轻患者疼痛,治疗效果显著,且具有较好的安全性。

Ultrasound-guided modified percutaneous suction for the treatment of calcific supraspinatus tendinitis

Objective To analyze the efficacy and safety of ultrasound-guided modified percutaneous suction for the treatment of calcific supraspinatus tendinitis. Methods From January 2017 to January 2019, 60 patients with calcific supraspinatus tendinitis admitted to our hospital were selected as subjects. Patients in the control group underwent ultrasound-guided single-needle percutaneous suction. Patients in the observation group underwent ultrasound-guided double-needle percutaneous suction. The degree of pain was evaluated by numberal rating scale (NRS), the shoulder function and range of motion were evaluated using the university of California at Los Angeles shoulder rating scale (UCLA) and the Constant-Murley Shoulder Function Score System before and 3 days, 7 days, 1 month and 6 months after treatment. The results of DR examination and the ratio of second and third treatments were compared between the two groups. The incidence of adverse reactions during treatment and follow-up was also recorded to assess safety. Results There was no significant difference between the two groups before treatment (P>0.05). At 3d and 7d after treatment, the NRS score of the observation group was lower than that of the control group (P<0.05). At 1 month and 6 months after treatment, the NRS scores of the two groups were not significantly different (P>0.05). In terms of UCLA score and Constant-Murley score, there was no significant difference between the two groups before treatment (P>0.05). At the 3d, 7d, 1st, and 6th months after treatment, there was no significant difference between the two groups before treatment (P>0.05). The results of DR in the observation group showed that the calcifications decreased or disappeared at 7 days after treatment. The second and third treatment rates of the observation group were lower than the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups during treatment (P>0.05).Conclusion Although ultrasound-guided modified percutaneous suction for calcified supraspinatus tendonitis does not improve the shoulder function and range of motion, it can reduce pain in patients at an early stage, with significant therapeutic effects and good safety.