体外冲击波联合超短波治疗狭窄性腱鞘炎的疗效观察

目的:探讨体外冲击波联合超短波治疗狭窄性腱鞘炎的疗效。方法:将40例狭窄性腱鞘炎患者随机分为联合组与对照组各20例。联合组采用体外冲击波联合超短波治疗,对照组仅用超短波治疗。观察并记录术前、后的视觉模拟评分(visual analogue scale,VAS),并进行疗效评估。结果:治疗后30 d两组患者的VAS评分均低于治疗前(P<0.01),但联合组较对照组降低更明显(P<0.01)。联合组总有效率为95%,对照组总有效率为80%,联合组疗效明显高于对照组。结论:体外冲击波联合超短波治疗狭窄性腱鞘炎是一种有效的治疗方法 ,疗效优于单纯超短波治疗法。

THE CLINICAL EFFECTS OF COMBINED THERAPY OF EXTRACORPOREAL SHOCK WAVE AND ULTRASHORT WAVE ON STENOSAL TENDOSYNOVITIS

Objective: To explore the clinical effects of combined therapy of extracorporeal shock wave and ultrashort wave for stenosal tendosynovitis.Methods: A total of 40 cases with stenosal tendosynovitis were randomly and evenly divided into 2 groups: combined group and control group.The combined treatment group was treated with the combined therapy of extracorporeal shock wave and ultrashort wave.The contr-ol group was treated with single ultrashort wave only.The visual analgue scale(VAS) score and clinical effects were recorded before and after treatmennt.Results: Compared with before treatment,the VAS scores decreased in both groups at 30 d after treatment(P < 0.01).The VAS scores in combined group were lower than that in control group at 30 d after treatment(P < 0.01).The total effective rate in combined group(95%) was significantly higher than that in the control group(80%).Conclusion: The combined therapy of extracorporeal shock wave and ultrashort wave is effective for stenosal tendosynovitis,and the therapeutic effect is better than single ultrashort wave treatment.