超声引导下双针经皮穿刺术联合肩峰下滑囊封闭治疗冈上肌钙化性肌腱炎的短期疗效  

The short-term outcomes of ultrasound-guided double-needle percutaneous combined with steroid injection in treatment of supraspinatus calcific tendinitis

作　　者：刘佳宁 任逸众[2] Liu Jianing;Ren Yizhong(Department of Ultrasonography, Hospital Affiliated to Chifeng College, Chifeng 024000, China;Department of Sports Medicine, the Second Affiliated Hospital of Inner Mongolia Medical University, Huhehaote 010000, China)

机构地区：[1]赤峰学院附属医院超声科,024000 [2]内蒙古医科大学第二附属医院运动医学外科,呼和浩特010000

出　　处：《中华老年骨科与康复电子杂志》2017年第6期367-371,共5页Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)

基　　金：内蒙古自治区自然科学基金(2016MS0366)

摘　　要：目的评价采用超声引导下双针经皮穿刺术联合肩峰下滑囊封闭治疗冈上肌钙化性肌腱炎的临床疗效。方法回顾性分析2011年6月至2016年6月32例就诊于内蒙古赤峰学院附属医院,采用超声引导下双针经皮穿刺术联合肩峰下滑囊封闭治疗的冈上肌钙化性肌腱炎患者的临床资料,男性10例,女性22例;左侧11例,右侧21例;年龄32~73岁,平均(50±10)岁。采用疼痛视觉模拟评分法(VAS)评分、Constant-Murley肩关节功能评分、加州大学肩关节评分系统(UCLA)及X线检查评估治疗效果。结果所有患者均获得满意随访,随访时间6~18个月,平均(14±4)个月。末次随访时VAS评分由术前的(7.0±1.8)分降至(1.6±1.3)分,Constant-Murley评分由术前的(41±8)分提升至(90±6)分,UCLA评分由(15±3)分提升至(32±3)分,差异均具有统计学意义(t=19.747,t=40.169,t=23.187,P<0.05)。末次随访时优良率为81.3%(26/32)。其中有8例患者钙化灶部分消失,其余患者钙化灶全部消失,无其它相关并发症发生。结论超声引导下双针经皮穿刺术联合肩峰下滑囊封闭治疗冈上肌钙化性肌腱炎的短期疗效良好且安全性较高,具有创伤小、恢复快、花费少、并发症发生率低、无需住院等优点。Objective To explore the short-term outcomes of ultrasound-guided double-needle percutaneous combined with steroid injection in the treatment of supraspinatus calcific tendinitis.Methods A retrospective study in32cases of supraspinatus calcifictendinitis treated in Hospital Affiliated to Chifeng College from June2011to June2016were performed,using ultrasound-guided double-needle percutaneous combined with steroid injection.There were10males and22females with a mean age of50±10years old(range,32-73years).11left and21right shoulders were involved.VAS score,Constant-Murley score,UCLA scoring system and X-Ray examination before and at the last follow-up were recorded and compared.Results All32patients received an average of14±4months(range,6-18months)followe-up.The VAS score was decreased from7.0±1.8preoperatively to1.6±1.3at final follow-up,the Constant-Murley score was increased from41±8to90±6,and the UCLA score was increased from15±3to32±3,significant differences were found(t=19.747,t=40.169,t=23.187,P<0.05).The excellent rate was81.3%(26/32).The radiographs showed reservation of partially calcified deposit in8patients,others had complete recovery.There were no other related complications.Conclusion Ultrasound-guided double-needle percutaneous combined with steroid injection in the treatment of supraspinatus calcific tendinitis is a safe and effective treatment for supraspinatuscalcific tendinitis with the advantages of minimally invasive,fast recovery,low cost,low complication rate and no need for hospitalization.

关 键 词：超声检查 腱炎 钙质沉着 冈上肌 

分 类 号：R687.2[医药卫生—骨科学]