超声引导下精准定位体外冲击波治疗肩袖钙化性肌炎疗效的临床研究

Clinical research on the therapeutic efficacy of ultrasound guided precision orientation of extracorporeal shock wave on calcific myositis of rotator cuff

目的探讨超声引导下精准定位下体外冲击波和痛点定位体外冲击波两种干预方法对肩袖钙化性肌炎的疗效。方法选取2017年2月至2018年11月宁波市中医院行冲击波治疗的80例患者,随机分为对照组和治疗组,每组各40例,对照组采用痛点定位体外冲击波治疗,治疗组采用超声引导下精准定位体外冲击波治疗,比较两组VAS、CMS评分及钙化灶吸收情况。结果2个月后,治疗组的VAS、CMS评分及钙化灶吸收情况与对照组比较,差异无统计学意义(P>0.05);1年后,治疗组的VAS、CMS评分及钙化灶吸收情况明显优于对照组(P<0.05)。结论超声引导下精准定位体外冲击波和痛点定位体外冲击波治疗肩袖钙化性肌炎均有临床疗效,但远期效果超声引导下精准定位体外冲击波更佳。

Objective To explore the therapeutic efficacy of ultrasound guided precision orientation of extracorporeal shock wave therapy(ESWT)and pain point orientation of ESWT on calcific myositis of rotator cuff.Methods A total of 80 patients treated with shock wave in Ningbo Hospital of Traditional Chinese Medicine from February 2017 to November 2018 were randomly divided into the control group(n=40)and the treatment group(n=40).The control group was treated with pain point orientation of ESWT,while the treatment group was treated with ultrasound guided precision orientation of ESWT.The VAS,CMS scores and calcification foci absorption were compared.Results After 2 months,there was no significant difference in VAS,CMS score and calcification absorption between the treatment group and the control group(P>0.05);1 year later,the scores of VAS and CMS and calcification foci absorption in the treatment group were significantly better than those in the control group(P<0.05).Conclusion Ultrasound guided precision orientation of ESWT and pain point orientation of ESWT have clinical efficacy in the treatment of calcific myositis of rotator cuff,but the long-term efficacy of ultrasound guided precision orientation of ESWT is better.