超声引导下肩关节腔注射联合扩张治疗冻结肩  

Ultrasound-guided glenohumeral joint injection combined with distension for treatment of frozen shoulder

作　　者：成雪晴 卢漫[1] 张振奇 郭璇妍[2] 贺凡丁[2] 陈凯[2] 

机构地区：[1]四川省肿瘤医院超声科,成都610041 [2]四川省人民医院超声科

出　　处：《中华超声影像学杂志》2017年第10期895-898,共4页Chinese Journal of Ultrasonography

基　　金：国家自然科学基金面上项目（81571700）

摘　　要：目的探讨超声引导下肩关节腔注射联合扩张治疗冻结肩的疗效。方法收集2016年3月至2017年3月经临床及超声诊断为冻结肩，且自愿接受超声引导下肩关节腔注射联合扩张治疗者52例，其中48例接受连续3次治疗者纳人研究。每次治疗前和第三次治疗后2周分别进行视觉模拟评分（VAS）、睡眠影响及肩关节主动活动范围（AROM）评估，依次比较患者第一、二、三次治疗的疗效。结果第一次治疗后与治疗前比较，患者疼痛及睡眠影响改善（P〈0．05），AROM无明显改善（P〉0．05）；第二次治疗与第一次比较，患者睡眠影响、VAS及AROM均明显改善（P〈0．05）；第三次治疗与第二次比较，患者睡眠影响无明显变化（P〉0．05），而VAS评分及AROM均进一步改善（P〈0．05）。结论连续三次超声引导下肩关节腔注射联合扩张能显著缓解患者疼痛，改善患者睡眠及肩关节主动活动范围，是治疗冻结肩的有效方法。Objective To detect the effectiveness of ultrasound-guided glenohumeral joint injection combined with distension for treatment of frozen shoulder. Methods Fifty-two patients diagnosed as frozen shoulder by physical and ultrasound examination were performed the ultrasound-guided glenohumeral joint injection combined with distension. Finally, 48 patients completed the continuously three timesr treatment were included in this study. Patients were assessed using Visual Analogy Score （VAS）, the influence of sleeping and the Active Range of Motion （AROM） at the beginning of each time＇s treatment and at 2 weeks after the third treatment in order to compare the effectiveness of each timers treatment. Results The pain and sleeping influence of the first treatment were significantly improved compared with before treatment（all P 〈0.05）,but the AROM was not significantly improved（ P 〉0.05）. The pain, sleeping influence and AROM of the second treatment were significantly improved by comparing with the first treatment respectively（all P 〈0.05）. The pain and AROM of the third treatment were further improved than the second treatment（all P 〈0.05）. However there was no significant improvement of sleeping influence for the third treatment（ P 〉0.05）. Conclusions The pain, sleeping influence and AROM of frozen shoulder patients are significantly improved after the treatment of ultrasound-guided glenohumeral joint injection combined with distension for continuous three times, which is an effective treatment for frozen shoulder.

关 键 词：超声检查 冻结肩 关节腔注射 关节腔扩张 

分 类 号：R445.1[医药卫生—影像医学与核医学] R686[医药卫生—诊断学]