体外冲击波疗法联合传统治疗在膝内侧副韧带陈旧性损伤中的应用  

Application of Extracorporeal Shockwave Therapy Combined with Traditional Treatment in Old Injuries of the Medial Collateral Ligament of the Knee

作　　者：毛庆福 孙明兰 付春雷 刘鹏 高楠 MAO Qingfu;SUN Minglan;FU Chunlei;LIU Peng;GAO Nan(Department of Trauma,Gaolan Port Hospital,Zhuhai People's Hospital,Zhuhai 519000,China;不详)

机构地区：[1]珠海市人民医院高栏港医院创伤外科,广东珠海519000 [2]珠海市第五人民医院骨科,广东珠海519000

出　　处：《中国医学创新》2024年第12期106-112,共7页Medical Innovation of China

摘　　要：目的:比较体外冲击波疗法(extracorporeal shockwave therapy,ESWT)联合传统治疗和单纯传统治疗对膝内侧副韧带陈旧性损伤患者的效果。方法:回顾性分析2019年11月—2022年1月在珠海市第五人民医院治疗的85例膝内侧副韧带陈旧性损伤患者,根据治疗方案不同分组,其中对照组41例予以传统治疗,治疗组44例予以ESWT联合传统治疗。评估患者治疗前、治疗后和随访时的疼痛视觉模拟评分法(visual analog scale,VAS)评分、膝关节活动度、Lysholm膝关节评分和疗效。结果:在治疗后及随访时,两组患者在VAS评分、膝关节活动度、Lysholm膝关节评分方面均较治疗前有改善(P<0.05)。治疗组各项指标的改善效果明显优于对照组(P<0.05)。对照组临床治疗总有效率达46.34%,治疗组总有效率达95.45%,治疗组的总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论:ESWT联合传统治疗能明显缓解膝内侧副韧带陈旧性损伤患者膝关节疼痛,改善膝关节功能,疗效优于单纯传统治疗。Objective:To compare the effects of extracorporeal shockwave therapy(ESWT)combined with traditional treatment and traditional treatment alone in patients with old medial collateral ligament injury of the knee.Method:A retrospective analysis was performed for 85 patients with old medial collateral ligament injury of the knee treated in Zhuhai Fifth People's Hospital from November 2019 to January 2022.Grouping according to different treatment plans,the control group(41 cases)received traditional treatment,and the treatment group(44 cases)received ESWT combined with traditional treatment.The patients'visual analog scale(VAS)scores,range of motion(ROM)of the knee,Lysholm knee scores of patients before treatment,after treatment and during follow-up and efficacy were evaluated.Result:After treatment and during follow-up,the VAS scores,ROM of the knee and Lysholm knee scores of the two groups were significantly improved compared with those before treatment(P<0.05).The improvement effect of various indicators in the treatment group were significantly better than those in the control group(P<0.05).The total effective rate of the control group was 46.34%,and that of the treatment group was up to 95.45%,the total effective rate of the treatment group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:ESWT combined with traditional treatment in the treatment of old medial collateral ligament injury of the knee can relieve significantly knee pain and improve the function of the knee joint,and it is better than traditional treatment alone.

关 键 词：膝内侧副韧带 陈旧性损伤 体外冲击波 膝关节疼痛 传统治疗 

分 类 号：R686.5[医药卫生—骨科学]