超声造影引导下关节囊内注射治疗老年粘连性关节囊炎的疗效分析  

Clinical efficacy of contrast-enhanced ultrasound-guided injection in treating adhesive capsulitis of the shoulder in elderly patients

作　　者：徐森胤 黄斌 郭绍锋 王涵 Xu Senyin;Huang Bin;Guo Shaofeng;Wang Han(Department of Ultrasound,Zhejiang Hospital,Hangzhou 310013,China)

机构地区：[1]浙江医院超声科,杭州310013

出　　处：《中华老年病研究电子杂志》2024年第3期24-27,共4页Chinese Journal of Geriatrics Research(Electronic Edition)

基　　金：浙江省公益基金项目(LGF20H180006)

摘　　要：目的评估超声造影引导下关节囊内注射治疗老年人群粘连性关节囊炎(ACS)的临床疗效,探讨其在改善肩关节功能、减轻疼痛以及减少关节黏连方面的效果。方法纳入2020年1月至2023年12月在浙江医院诊治的63例60岁及以上ACS患者,其中观察组30例,对照组33例。观察组接受超声造影引导下的药物注射治疗,对照组接受传统封闭治疗。通过比较两组患者的Constant-Murley评分(CMS)、视觉模拟评分法(VAS)评分以及治疗后腋囊厚度变化评估疗效。计量资料的比较均采用t检验,计数资料的比较采用χ^(2)检验。结果观察组患者在CMS和VAS评分方面的改善显著优于对照组(t=4.142、-4.873,P<0.01),治疗后的腋囊厚度小于对照组(t=-2.164,P<0.05),且平均治疗次数也显著少于对照组(t=-33.292,P<0.01)。结论超声造影引导下的关节囊内注射治疗能够更有效改善老年ACS患者的肩关节功能,减轻疼痛并减少关节黏连。Objective To evaluate the clinical efficacy of contrast-enhanced ultrasound-guided injection in treating adhesive capsulitis of the shoulder(ACS)in elderly patients,focusing on improvements in shoulder joint function,pain relief,and reduction of joint adhesions.Methods This study included 63 patients aged 60 years or older diagnosed with ACS and treated at Zhejiang Hospital from January 2020 to December 2023.Patients were divided into an observation group(n=30)and a control group(n=33).The observation group underwent contrast-enhanced ultrasound-guided drug injection,while the control group received traditional corticosteroid injections.Clinical efficacy was evaluated by comparing Constant-Murley scores(CMS),Visual Analog Scale(VAS)scores,and post-treatment axillary recess thickness between the two groups.T tests were used to compare the measurement data,χ^(2) tests were used to compare the counting data.Results Patients in the observation group showed significantly better improvement in CMS and VAS scores than the control group(t=4.142,-4.873;P<0.01),axillary capsule thickness after treatment was less than that of the control group(t=-2.164,P<0.05),and the observation group required significantly fewer treatment sessions than the control group(t=-33.292,P<0.01).Conclusion Contrast-enhanced ultrasound-guided intracapsular injection therapy is more effective in improving shoulder function,reducing pain and minimizing joint adhesions in elderly patients with ACS.

关 键 词：粘连性关节囊炎 老年人 关节囊内注射 超声造影 临床疗效 

分 类 号：R684[医药卫生—骨科学]