论文部分内容阅读
目的:探讨超声介导注射联合体外冲击波治疗冈上肌钙化性肌腱炎的临床疗效。方法:自2018年9月至2019年3月我们共收治40例冈上肌钙化性肌腱炎患者，随机分为体外冲击波联合超声介导下类固醇激素注射组20例(实验组)和超声介导下类固醇激素注射组20例(对照组)。比较两组治疗前与治疗后2周、4周、3个月及6个月的视觉模拟评分(Visual analogue scale，VAS)、Constant-Murley肩关节功能评分及治疗后4周、3个月、6个月的钙化灶缩小率。结果:治疗后两组患者随访时间为6～13个月，平均8.4个月。两组患者治疗后2周、4周、3个月、6个月较治疗前VAS、Constant-Murley肩关节功能评分改善，钙化灶缩小(n P0.05)。治疗后3、6个月实验组各项指标均优于对照组(n P0.05). All the indexes of the experimental group were better than those of the control group 3 and 6 months after treatment (n P<0.05).n Conclusion:Ultrasound-guided injection combined with extracorporeal shockwave has a good clinical effect in the treatment of calcified tendonitis of supraspinatus muscle. Compared with single steroid injection, there is no significant difference in the short-term period (4 weeks), experimental group can better alleviate pain, promote the absorption of calcified focus, and recover shoulder joint function.