| 肌骨超声引导下针刺治疗肩关节镜下肩袖缝合术后肌筋膜疼痛综合征的疗效分析 |
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Received:April 01, 2025
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| 作者 | Author | 单位 | Unit | E-Mail |
| 梁潇 |
LIANG Xiao |
湖南省人民医院 湖南师范大学附属第一医院关节与运动医学科, 湖南 长沙 410005
湖南省运动医学临床医学研究中心, 湖南 长沙 410005 |
Department of Joint Surgery and Sports Medicine, Hunan Provincial People's Hospital, the First Affiliated Hospital of Hunan Normal University, Changsha 410005, Hunan, China
Clinical Research Center of Sports Medicine in Hunan Province, Changsha 410005, Hunan, China |
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| 王靖 |
WANG Jing |
湖南省人民医院 湖南师范大学附属第一医院关节与运动医学科, 湖南 长沙 410005
湖南省运动医学临床医学研究中心, 湖南 长沙 410005 |
Department of Joint Surgery and Sports Medicine, Hunan Provincial People's Hospital, the First Affiliated Hospital of Hunan Normal University, Changsha 410005, Hunan, China
Clinical Research Center of Sports Medicine in Hunan Province, Changsha 410005, Hunan, China |
wangj0405@163.com |
| 夏晓辉 |
XIA Xiao-hui |
湖南省人民医院 湖南师范大学附属第一医院超声医学科, 湖南 长沙 410005 |
Department of Medical Ultrasonics, Hunan Provincial People's Hospital, the First Affiliated Hospital of Hunan Normal University, Changsha 410005, Hunan, China |
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| 王洪涛 |
WANG Hong-tao |
湖南省人民医院 湖南师范大学附属第一医院关节与运动医学科, 湖南 长沙 410005
湖南省运动医学临床医学研究中心, 湖南 长沙 410005 |
Department of Joint Surgery and Sports Medicine, Hunan Provincial People's Hospital, the First Affiliated Hospital of Hunan Normal University, Changsha 410005, Hunan, China
Clinical Research Center of Sports Medicine in Hunan Province, Changsha 410005, Hunan, China |
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| 期刊信息：《中国骨伤》2025年38卷，第6期，第601-607页 |
| DOI：10.12200/j.issn.1003-0034.20240390 |
| 基金项目:湖南省科技创新计划项目(编号:2021SK50914);湖南省卫生健康委科研计划项目(编号:202204072889) |
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目的：比较肌骨超声引导下针刺治疗和放射式体外冲击波治疗对肩关节镜下肩袖缝合术后肌筋膜疼痛综合征的临床疗效。
方法：自2021年6月至2022年4月收治75例肩关节镜下肩袖缝合术后发生肌筋膜疼痛综合征患者,根据治疗方式不同分为肌骨超声组和体外冲击波组。肌骨超声组39例,男12例,女27例;年龄43~77(56.33±9.45)岁;左侧11例,右侧28例;病程7.00(4.00,12.00)周;行肌骨超声引导下针刺治疗。体外冲击波组36例,男16例,女20例;年龄46~72(58.94±8.94)岁;左侧12例,右侧24例;病程5.50(4.00,8.00)周;行放射式体外冲击波治疗。分别于治疗前及治疗1、3、6、12、24个月,比较两组疼痛视觉模拟评分(visual analogue scale,VAS)、美国肩肘外科协会评分(American shoulder and elbow surgeons score,ASES)以评估患者肩关节疼痛及功能改善情况。
结果：两组均获得随访,时间24~27(24.68±0.89)个月。随访期间未发生感染、血管神经损伤等并发症。治疗6个月,肌骨超声组VAS (2.00±1.19)分低于体外冲击波组(3.08±1.02)分,差异有统计学意义(P<0.05);治疗1、3、12、24个月,两组VAS比较差异无统计学意义(P>0.05)。治疗3、6、12个月,肌骨超声组ASES分别为(77.44±11.56)、(86.06±6.11)、(89.44±4.66)分,高于体外冲击波组(55.23±12.76)、(58.10±10.25)、(84.03±7.36)分,差异均有统计学意义(P<0.05);治疗1、24个月,两组ASES比较差异均无统计学意义(P>0.05)。
结论：肌骨超声引导下针刺治疗对于肩关节镜下肩袖缝合术后肌筋膜疼痛综合征较放射式体外冲击波具有缓解疼痛更快和肩关节功能改善更迅速的优势。 |
| [关键词]:肩袖撕裂 肌筋膜疼痛综合征 肌骨超声 针刺治疗 放射式冲击波 |
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| Analysis of rapeutic effect of musculoskeletal ultrasound-guided acupuncture for the treatment of myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy |
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Abstract:
Objective To compare clinical efficacy of musculoskeletal ultrasound guided acupuncture treatment and radiation extracorporeal shock wave therapy in myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy.
Methods From June 2021 to April 2022,75 patients with myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy were admitted and divided into musculoskeletal ultrasound group and extracorporeal shock wave group according to different treatment methods. There were 39 patients in musculoskeletal ultrasound group,including 12 males and 27 females,aged from 43 to 77 years old with an average of (56.33±9.45) years old;11 patients on the left side and 28 patients on the right side;the course of disease with a median of 7.00(4.00,12.00) weeks;acupuncture treatment was performed under the guidance of musculoskeletal ultrasound. There were 36 patients in extracorporeal shock wave group,including 16 males and 20 females,aged from 46 to 72 years old with a median of (58.94±8.94) years old;12 patients on the left side and 24 patients on the right side;the course of disease with an average of 5.50 (4.00,8.00) weeks;extracorporeal shock wave therapy with radiation were performed. Visual analogue scale (VAS) and American shoulder and elbow surgeons score (ASES) were compared between two groups to evaluate improvement of shoulder joint pain and function before treatment and 1,3,6,12,and 24 months after treatment.
Results Both of two groups were followed up for 24 to 27 months with an average of (24.68±0.89) months. No complications such as infection and vascular and nerve injury occurred during follow up period. At 6 months after treatment, VAS of musculoskeletal ultrasound group (2.00±1.19) was lower than that of extracorporeal shock wave group (3.08±1.02), and the difference was statistically significant (P<0.05). At 1,3,12 and 24 months after treatment,there were no statistically significant difference in VAS between two groups (P>0.05). At 3,6 and 12 months after treatment,ASES scores of musculoskeletal ultrasound group were (77.44±11.56),(86.06±6.11),and (89.44±4.66) respectively,which were higher than those of extracorporeal shock wave group (55.23±12.76),(58.10±10.25),(84.03±7.36),the differences were statistically significant (P<0.05);there were no statistically significant difference in ASES between two groups at 1 and 24 months after treatment (P> 0.05).
Conclusion Musculoskeletal ultrasound guided acupuncture treatment has advantages of faster pain relief and more rapid improvement of shoulder joint function for myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy compared with radioactive extracorporeal shock wave therapy. |
| KEYWORDS:Rotator cuff tear Myofascial pain syndrome Musculoskeletal ultrasound Acupuncture treatment Radial shockwave |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 梁潇,王靖,夏晓辉,王洪涛.肌骨超声引导下针刺治疗肩关节镜下肩袖缝合术后肌筋膜疼痛综合征的疗效分析[J].中国骨伤,2025,38(6):601~607 |
| 英文格式: | LIANG Xiao,WANG Jing,XIA Xiao-hui,WANG Hong-tao.Analysis of rapeutic effect of musculoskeletal ultrasound-guided acupuncture for the treatment of myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy[J].zhongguo gu shang / China J Orthop Trauma ,2025,38(6):601~607 |
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