Value of ultrasound-guided modified needle-knife in the treatment of adhesive capsultis of shoulder with bursal effusion
XING Ruilin1 LIAN Longhu2 LIU Yanyan1 FENG Yan1 GAO Xiaoping1
1.Department of Ultrasound, Affiliated Hospital of Northwest Minzu University the Second People’s Hospital, Gansu Province, Lanzhou 730000, China; 2.General Medicine, Tongwei Hospital of Traditional Chinese Medicine, Gansu Province, Tongwei 743300, China
Abstract：Objective To explore the value of ultrasound-guided modified needle-knife in the treatment of adhesive capsultis of shoulder (ACS) with bursal effusion. Methods A total of 112 patients with ACS were selected from the Second Provincial People’s Hospital, Gansu Province from February 2020 to February 2022. They were divided into the needle group and the control groups by random number table method, with 56 cases in each group. The needle group was treated with ultrasound-guided modified needle-knife therapy, while the control group was treated with traditional needle-knife therapy. Both group were treated once a week for two weeks. The clinical effect of the two groups was compared; visual analogue scale (VAS) scores, disabilities of the arm, shoulde, and hand (DASH) scores, and shear wave elastic velocity (SWV) were compared between the two groups before treatment (T1), treatment for two weeks (T2), two weeks after treatment (T3), four weeks after treatment (T4); follow-up for one year, the recurrence of the two groups was compared. Results The total effective rate of the needle group was higher than that of the control group (P＜0.05). Overall comparison: VAS score, DASH score, SWV among groups, time, and interaction were statistically significant between the two groups (P＜0.05). Intra-group comparison: at T2-T4, VAS score, DASH score, and SWV of the two groups were lower than those at T1 (P＜0.05). Comparison between groups: at T2-T4, VAS score, DASH score, and SWV in the needle group were lower than those in the control group (P＜0.05). The recurrence rate of the needle group was lower than that of the control group (P＜0.05). Conclusion Ultrasound-guided modified-knife has better efficacy and lower recurrence rate in the treatment of ACS, which can be applied in clinic.
邢瑞林1 连龙虎2 刘艳艳1 冯艳1 高小平1. 超声引导下细针改良针刀在粘连性肩关节囊炎伴滑囊积液治疗中的价值[J]. 中国医药导报, 2023, 20(31): 163-166.
XING Ruilin1 LIAN Longhu2 LIU Yanyan1 FENG Yan1 GAO Xiaoping1. Value of ultrasound-guided modified needle-knife in the treatment of adhesive capsultis of shoulder with bursal effusion. 中国医药导报, 2023, 20(31): 163-166.
[1] Wang W，Shi M，Zhou C，et al. Effectiveness of corticosteroid injections in adhesive capsulitis of shoul-der：A meta-analysis [J]. Medicine（Baltimore），2017，96（28）：e7529. [2] 尹晶，余玲玲，陈珂，等.超声引导下针刀联合温针灸治疗粘连性肩关节囊炎的短期疗效[J].中国疼痛学杂志，2020，26（7）：540-544. [3] Zhou J，Yang DB，Wang J，et al. Role of shear wave elastography in the evaluation of the treatment and prognosis of supraspinatus tendinitis [J]. World J Clin Cases，2020，8（14）：2977-2987. [4] 李盛妍，胡蓉菲，朱婷，等.剪切波速度预测颈肩肌筋膜疼痛综合征复发的价值[J].现代医学，2019，47（12）：1466-1471. [5] 南登崑.康复医学[M].5版.北京：人民卫生出版社，2013：323-324. [6] 严广斌.视觉模拟评分法[J].中华关节外科杂志（电子版），2014，8（2）：273. [7] He B，Tian X，Ji G，et al. Comparison of outcomes between non surgical and surgical treatment of distal radius fracture：A system atic review update and meta analysis [J]. Arch Orthop Trauma Surg，2020，140（8）：1143-1153． [8] Prado-Costa R，Rebelo J，Monteiro-Barroso J，et al. Ultrasound elastography：compression elastography and shear- wave elastography in the assessment of tendon injury [J]. Insights Imaging，2018，9（5）：791-814. [9] 朱汉章.针刀医学原理[M].2版.北京：人民卫生出版社，2002：623-626. [10] Le HV，Lee SJ，Nazarian A，et al. Adhesive capsulitis of the shoulder：Review of pathophysiology and current clinical treatments [J]. Shoulder Elbow，2017，9（2）：75-84. [11] 桑学涵，孟兆祥，金星，等.冲击波联合喙肱韧带松解对粘连性肩关节囊炎的疗效观察[J].实用临床医药杂志，2022，26（17）：100-103. [12] 王海燕，王慧，韩冲芳，等.肩胛上神经阻滞联合经皮穴位电刺激治疗粘连性肩关节囊炎的疗效观察[J].中国疼痛医学杂志，2020，26（10）：778-781. [13] Redler LH，Dennis ER. Treatment of adhesive capsulitis of the shoulder [J]. J Am Acad Orthop Surg，2019，27（12）：e544-e554. [14] 张学广，刘尧，王米，等.超声引导下臭氧水注射治疗粘连性肩关节囊炎的临床疗效观察[J].国际麻醉学与复苏杂志，2021，42（9）：907-910. [15] 税云华，张兰，李培玉，等.超声引导小针刀治疗成人屈指肌肌腱狭窄性腱鞘炎的临床研究[J].临床超声医学杂志，2019，21（12）：940-943. [16] 李子芳，陈敬富，宣平，等.肌骨超声引导下小针刀治疗腰背肌筋膜疼痛综合征的临床观察[J].浙江中西医结合杂志，2022，32（7）：632-634. [17] 汤乃洋，陆灵美.高频超声引导下小针刀联合中药贴敷治疗肩周炎的临床研究[J].南通大学学报（医学版），2020：40（5）：473-475. [18] 潘巍一，葛俊胜，张捷洪，等.肌骨超声技术在针刀治疗膝关节炎患者中图像表现及临床效果的相关性[J].生物医学工程与临床，2020，24（1）：50-54. [19] 张雪红，刘荣.肌骨超声引导下小针刀治疗肩周炎患者的临床疗效与安全性[J].医疗装备，2022，35（17）：65-67． [20] 李杰良，刘大雄，吴治，等.手法结合小针刀松解术治疗肩周炎的疗效观察[J].中国骨与关节损伤杂志，2022， 37（7）：746-748． [21] Hand GC，Athanasou NA，Matthews T，et al. The pathology of frozen shoulder [J]. J Bone Joint Surg Br，2007，89（7）：928-932. [22] Kim A，Hak AJ，Choi WS，et al. Comparison of long-term effect and complications between holmium laser enucleation and transurethral resection of prostate；nations-wide health insrance study [J]. Urology，2021，154：300-307. [23] Xiao RC，Walley KC，DeAngelis JP，et al. Corticosteroid injections for adhesive capsulitis：A review[J].Clin J Sport Med，2017，27（3）：308. [24] 周新巧，潘寅兵，俞敏，等.富血小板血浆治疗粘连性肩关节囊炎患者的疗效[J].江苏医药，2022，48（10）：1007- 1010. [25] 高小平，邢瑞林，许艳青，等.多模态超声在指导肩袖钙化性肌腱炎治疗中的应用价值[J].放射学实践，2021， 36（9）：1158-1163． [26] 傅民，赵翌霖，张雅倩.肌骨超声影像在肩痛患者糖皮质激素注射治疗中的应用价值[J].临床和实验医学杂志，2021，20（5）：556-558.
2023, Vol. 20 
京公网安备 11010502046598号