自体富血小板血浆联合玻璃酸钠超声引导下注射治疗肩袖部分撕裂  

作　　者：贾学文[1] 卢剑[1] 胡寅峰[1] 王德鑫 徐宝平 宓云峰 

机构地区：[1]浙江省宁波市第一医院,浙江大学宁波医院,315010 [2]浙江省宁波市海曙区第二医院,浙江省宁波市第一医院海曙分院,315099 [3]浙江省东阳花园田氏医院,322121

出　　处：《浙江临床医学》2021年第10期1471-1473,共3页Zhejiang Clinical Medical Journal

基　　金：宁波市海曙区科技局农业社会发展专项资助项目(海科【2018】40号-12)。

摘　　要：目的探讨自体富血小板血浆(PRP)联合玻璃酸钠超声引导下注射治疗肩袖部分撕裂的效果,寻找防止肩袖损伤进一步恶化的早期干预手段。方法54例肩袖部分撕裂患者随机分为观察组和对照组,每组各27例。在超声引导下,观察组注射1次玻璃酸钠针+自体PRP,对照组仅注射1次自体PRP。比较治疗前及治疗后3、6个月患者的UCLA肩关节评分、视觉模拟评分(VAS)及超声影像学检查情况。结果治疗后3、6个月,两组的UCLA肩关节评分及VAS评分均优于治疗前,治疗后3个月的组间差异均有统计学意义(P<0.05)。结论超声引导下注射自体PRP+玻璃酸钠能够在短期内显著减轻肩关节疼痛并改善肩关节功能,尤其适用于肩袖部分撕裂早期的患者。Objective To explore the efficacy of platelet-rich plasma(PRP)combined with hyaluronic acid ultrasound guider injection in the treatment of early parients with partial rotator cuff tear and to find early intervention methods to prevent rotator cuff injury from further worsening.Methods Fifty-four patients with rotator cuff tear were randomly divided into observation group and control group,27 cases in each group.Under the guidance of ultrasound,the observation group was injected once with hyaluronic acid needle plus autologous PRP,while the control group was injected once with autologous PRP.UCLA shoulder score,visual analog scale(VAS)and ultrasound imaging were compared before treatment and 3 and 6 months after treatment.Results At 3 and 6 months after treatment,UCLA shoulder joint score and VAS score of the two groups were better than those before treatment,and there were statistically significant differences between the tAvo groups at 3 months after treatment(P<0.05).Conclusion Autologous injection of PRP+sodium hyaluronate under ultrasound guidance can significantly relieve shoulder pain and improve shoulder flinction in the short term,especially for patients with early rotator cuff tear.

关 键 词：自体富血小板血浆 玻璃酸钠 超声引导 肩袖部分撕裂 

分 类 号：R68[医药卫生—骨科学]