注射型针刀在肩袖钙化性肌腱炎急性发作期的运用

目的探讨注射型针刀用于肩袖钙化性肌腱炎急性发作期的疗效。方法回顾性分析78例肩袖钙化性肌腱炎急性发作患者,根据不同的治疗方法分为注射型针刀组(20例)和肩关节镜组(36例)。比较治疗前后两组的肩关节疼痛VAS评分、UCLA肩关节功能评分,统计治疗后3周两组的效果优良率、钙化吸收率,以及总共医疗支出费用。结果两组患者在治疗后次日、1周、2周、3周的VAS评分均较治疗前降低,UCLA评分均较治疗前显著上升,差异有统计学意义(P<0.05)。两组之间的VAS评分和UCLA评分比较,差异均无统计学意义(P>0.05)。治疗后3周,两组的治疗效果优良率及病灶钙化吸收率比较,差异均无统计学意义(P>0.05)。与肩关节镜组比较,注射型针刀组的治疗费用更低,差异有统计学意义(P<0.001)。结论肩袖钙化性肌腱炎急性发作期采用注射式针刀治疗安全有效。

Objective To explore the curative effect of injection needle knife in acute attack of rotator cuff calcific tendonitis.Methods 78 patients with acute attack of rotator cuff calcifictendonitis were retrospectively analyzed and divided into injection needle knife group(20 cases)and shoulder arthroscopy group(36 cases)according to different treatment methods.VAS score of shoulder pain and UCLA score of shoulder function were compared between the two groups before and after treatment,and the excellent and good rate of effect,calcification absorption rate and total medical expenses of the two groups were counted 3 weeks after treatment.Results VAS scores of two groups on the second day,1,2 and 3 weeks after treatment were lower than those before treatment,and UCLA scores were significantly higher than those before treatment,with statistical significance(P<0.05).There was no statistical significance in VAS score and UCLA score between the two groups(P>0.05).Three weeks after treatment,there was no significant difference in the rate of excellent and good treatment effect and the absorption rate of lesions calcification between the two groups(P>0.05).Compared with the shoulder arthroscopy group,the treatment cost of the injection needle knife group was lower,and the difference was statistically significant(P<0.001).Conclusion The treatment of acute attack of rotator cuff calcific tendonitis by injectable needle knife is safe and effective.