超声引导下穿刺治疗肱二头肌长头肌腱炎的疗效观察

Therapeutic Effect of Ultrasound-Guided Puncture on Myotenositis of Long Head of Biceps Brachii

目的探讨超声引导下穿刺治疗与传统封闭疗法治疗肱二头肌长头肌腱炎的临床疗效。方法选择2017年5月至2018年5月在四川省人民医院中医骨科门诊就诊的患者80例作为研究对象,随机分为超声引导组40例和传统封闭组40例。观察并比较两组治疗前、治疗后1周、1个月和3个月视觉模拟评分(VAS),肩关节功能采用Constant-Murley评分以及疼痛VAS评分开始低于3分的时间。结果两组患者治疗后均有疗效,超声引导组治疗后1周、1个月、3个月VAS评分分别为(2.12±1.46)、(1.14±0.78)、(0.66±0.69)分;传统封闭组治疗后1周、1个月、3个月VAS评分分别为(2.94±1.49)、(1.86±0.96)、(1.08±0.52)分;肩关节功能采用Constant-Murley评分,超声引导组治疗后1周、1个月、3个月Constant-Murlery评分分别为(81.84±11.02)、(90.42±8.79)、(94.72±6.71)分;传统封闭组治疗后1周、1个月、3个月Constant-Murlery评分分别为(72.44±13.50)、(83.62±9.80)、(89.46±8.49)分;疼痛VAS评分开始低于3分时间超声引导组为(1.83±0.34)d,传统封闭组为(3.83±1.23)d。两组治疗前后各项评分比较差异均有统计学意义(P<0.05)。结论超声引导下穿刺治疗肱二头肌长头肌腱炎准确性高,针对性强,能提高综合疗效,相比传统封闭疗法有不可替代的优势。

Objective To investigate the therapeutic effect of the ultrasound-guided puncture and traditional blocking therapy on myotenositis of long head of biceps brachii. Methods A total of 80 patients treated in Sichuan Provincial People's Hospital from May of 2017 to May of 2018 were selected and randomly divided into the ultrasound-guided group and traditional blocking group, and each group consisted of 40 cases. The Visual Analogue Scale (VAS) score and shoulder Constant-Murley score before treatment, 1 week, 1 month and 3 months after treatment and the pain time with the VAS score becoming no less than 3 points were observed and compared between the two groups. Results There were therapeutic effect after treatment in both groups. The VAS scores 1 week, 1 month and 3 months after treatment were (2.12±1.46),(1.14±0.78) and (0.66±0.69) respectively in the ultrasound-guided group, and they were (2.94±1.49),(1.86±0.96) and (1.08±0.52) respectively in the traditional blocking group. The shoulder Constant-Murley scores 1 week, 1 month and 3 months after treatment were (81.84±11.02),(90.42±8.79) and (94.72±6.71) respectively in the ultrasound-guided group, and they were (72.44±13.50),(83.62±9.80) and (89.46±8.49) respectively in the traditional blocking group. The pain time with the VAS score becoming no less than 3 points was (1.83±0.34) days in the ultrasound-guided group and (3.83±1.23) days in the traditional blocking group. The differences between before and after treatment were statistically significant in both groups. Conclusion The ultrasound-guided puncture on myotenositis of long head of biceps brachii can significantly improve the comprehensive efficacy with high accuracy and pertinence, so it has irreplaceable advantages when compared with the traditional blocking therapy.