超声定位在宫廷理筋术治疗肱骨外上髁炎中的应用价值

The effect of musculoskeletal ultrasound for massage treatment of lateral epicondylitis

目的 :探讨超声定位在宫廷理筋术治疗肱骨外上髁炎(LE)中的应用价值,以为治疗前病灶的定位及定性提供准确依据,提高诊疗效果。方法:将70例LE随机分为试验组和对照组,试验组在超声定位病灶后,根据病灶特点,用宫廷理筋术手法针对治疗;对照组采用传统体表按压定位法,以宫廷理筋术手法治疗。分别对治疗前后2组资料的视觉模拟疼痛评分(VAS)变化、临床综合疗效及治疗次数进行对比,并行统计学分析。结果:(1)VAS评分:治疗7、14 d后试验组疼痛改善明显(P<0.01);治疗后21 d 2组疼痛改善差异无统计学意义(P>0.05);2组治疗前后疼痛均有明显改善(P<0.01)。(2)试验组疗效优于对照组(R实验组=0.435,R对照组=0.568,均P<0.05)。(3)试验组治疗次数明显少于对照组(P<0.01)。结论 :肌骨超声定位与传统定位法比较,能更准确全面定位病灶,提高宫廷理筋术治疗LE的疗效,同时能够快速减轻患者疼痛,减少治疗次数。

Objective：Exploring the value of conventional scan sequence and functional imaging of MSUS in patients with LE. This study attempted to take advantage of the high-frequency color Doppler ultrasound,to provide a more accurate way to locate a traditional massage to improve clinical results,and provide objective evidence for the efficacy of imaging. Methods：70 cases of patients with clinical diagnosed lateral epicondylitis after randomly divided into two groups,received examination of B-mode and CDFI. Experimental groups：After using the ultrasound guided lesions,with massage to treat lateral epicondylitis. Control Group：After using the traditional method of locating the lesion,with massage to treat lateral epicondylitis. The data of two groups were observed in VAS score,clinical efficacy,treatment times,and analyzed statistically before and after treatment. Re-sults： ①VAS scores：There were significantly different （P〈0.01） after 7 days and 14 days of treatment. After 21 days,the two groups had no significant difference in VAS scores （P〉0.05）. ②By using Ridit analysis,the effective rates of the experimental group were significantly better than the control group （Rexperimental group=0.435,Rcontrol group=0.568,P〈0.05）. ③There were significant differences between the two groups in the number of treatment （P〈0.01）,the experimental group was significantly less than the control group. Conclusion：In this study,the massage by sonographical guide is superior than the traditional method. To relieve pain of the patients,the method by sonographical guide is significantly more quickly and efficiently than tra-ditional method. In the treatment of lateral humeral epicondylitis,the numbers of treatment may decrease by sonographical guid-ed manipulation compared with the traditional methods.