| 谭丽,郭璇妍,陈凯,全杰荣,陈琴.超声引导下经皮穿刺介入治疗肩袖钙化性肌腱病[J].中国介入影像与治疗学,2019,16(11):649-652 |
| 超声引导下经皮穿刺介入治疗肩袖钙化性肌腱病 |
| Ultrasound-guided percutaneous needling and interventional therapy for rotator cuff calcific tendinopathy |
| 投稿时间：2019-05-10 修订日期：2019-08-09 |
| DOI：10.13929/j.1672-8475.201905005 |
| 中文关键词: 肩袖 钙化性肌腱病 超声检查 影像引导 介入治疗 |
| 英文关键词:rotator cuff calcific tendinopathy ultrasonography imaging-guided interventional therapy |
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| 中文摘要: |
| 目的 探讨超声引导下经皮穿刺介入治疗肩袖钙化性肌腱病（RCCT）的价值。方法 对31例单纯性RCCT患者行超声引导下经皮穿刺介入治疗，术后进行随访。分别于治疗前、治疗后1个月及6个月对患者进行视觉模拟量表（VAS）评分和Neer肩关节功能评分，评价其疼痛程度及肩关节功能改善情况，并进行统计学分析。结果 31例均未发生治疗相关感染、肌腱损伤等不良事件。与治疗前比较，治疗后1个月VAS评分差异无统计学意义（P=0.412）；与治疗前及治疗后1个月比较，治疗后6个月VAS评分均明显减低（P均<0.001）。治疗后1个月及6个月Neer肩关节功能评分均较治疗前显著提高（P均<0.001），且治疗后6个月Neer肩关节功能评分明显高于治疗后1个月（P<0.001）。结论 超声引导下穿刺介入治疗RCCT效果确切，且具有无辐射、微创、安全等优点。 |
| 英文摘要: |
| Objective To explore the value of ultrasound-guided percutaneous needling and interventional therapy for rotator cuff calcific tendinopathy (RCCT).Methods Ultrasound-guided percutaneous needling and intervention were performed on 31 patients diagnosed as simple RCCT. Then the follow-up was carried out after operation. Visual analogue scale (VAS) and Neer shoulder joint function score were observed before treatment, 1 month and 6 months after treatment to evaluate the degree of pain and the improvement of shoulder function, and statistical analysis was performed. Results No adverse events such as treatment-related infection and tendon injury occurred among 31 patients. There was no statistical difference of VAS before and 1 month after treatment compared with that before treatment (P=0.412). However, VAS separately decreased 6 months after treatment compared with that before and 1 month after treatment (both P<0.001). Neer shoulder function scores were significantly improved 1 month and 6 months after treatment compared with that before treatment (both P<0.001). In addition, Neer shoulder joint function score of 6 months after treatment was significantly higher than that 1 month after treatment (P<0.001). Conclusion Ultrasound-guided percutaneous needling and interventional therapy for RCCT is effective, non-ionizing, minimally invasive and safety. |
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