肌骨超声定位体外冲击波联合皮针治疗顽固性肱骨外上髁炎的效果及预后观察  

Effect and Prognosis of Extra-Corporeal Shock Wave with Musculoskeletal Ultrasonography Combined with Skin Acupuncture in the Treatment of Intractable External Humeral Epicondylitis

作　　者：崔华静[1] 秦毅[1] CUI Hua-jing;QIN Yi(Department of Ultrasound,Rongcheng People’s Hospital,Shandong Province,Shandong Rongcheng 264300)

机构地区：[1]山东省荣成市人民医院超声科,山东荣成264300

出　　处：《中国医疗器械信息》2024年第14期148-150,157,共4页China Medical Device Information

摘　　要：目的:探析顽固性肱骨外上髁炎联合采用肌骨超声定位体外冲击波(Extra-corporeal Shock Wave Therapy,ESWT)、皮针治疗的效果。方法:选取2021年10月~2022年10月本院超声科收治的62例顽固性肱骨外上髁炎患者作为研究对象,分为试验组(肌骨超声定位ESWT配合皮针治疗)与对照组(肌骨超声定位ESWT)各31例。比较两组关节功能、治疗效果、疼痛程度、生活能力和复发率。结果:对比两组患者肘关节功能恢复情况,试验组关节功能指标中疼痛、日常活动、稳定度和活动度评分高于对照组(t=8.478,3.642,10.835,11.783,P<0.05)。对比两组患者治疗情况,试验组总有效率96.77%比对照组的74.19%更高(χ^(2)=4.679,P<0.05)。对比两组患者疼痛改善情况,试验组治疗1周和1个月时疼痛评分低于对照组(t=2.336,12.054,P<0.05)。观察两组患者生活能力恢复情况,试验组生活能力评分高于对照组(t=3.489,P<0.05)。观察两组患者疾病复发情况,试验组治疗后6个月、12个月时复发率低于对照组(χ^(2)=6.643,4.292,P<0.05)。结论:在顽固性肱骨外上髁炎的临床治疗中,肌骨超声定位ESWT结合皮针治疗方法具有理想的效果,能进一步提高疗效,改善关节功能和减轻疼痛,还可以促进生活能力恢复及降低复发率。Objective:To evaluate the efficacy of ultrasound-guided extra-corporeal shock wave therapy(ESWT)and skin acupuncture in the treatment of refractory tennis elbow.Methods:A total of 62 patients with intractable tennis elbow 2021 from October to October 2022 were selected and divided into test group and control group.The joint function,therapeutic effect,pain degree,life ability and recurrence rate were compared between the two groups.Results:The scores of pain,daily activity,stability and range of motion in the test group were higher than those in the control group.The total effective rate of the test group was higher than that of the control group.The improvement of pain was compared between the two groups.The pain score of the test group was lower than that of the control group at 1 week and 1 month after treatment.The recovery of life ability in the two groups was observed.The score of life ability in the test group was higher than that in the control group.The relapse rate of the two groups was observed.The relapse rate of the test group was lower than that of the control group at 6 and 12 months after treatment.Conclusion:ESWT guided by musculoskeletal ultrasound combined with skin acupuncture can further improve the curative effect,improve joint function and relieve pain.It can also promote the recovery of life ability and reduce the recurrence rate.

关 键 词：肌骨超声定位 顽固性肱骨外上髁炎 皮针 体外冲击波 

分 类 号：R445.1[医药卫生—影像医学与核医学]