实时超声引导下药物注射精准治疗梨状肌综合征的疗效分析

Clinical analysis of real-time ultrasound-guided drug injection for piriformis syndrome

目的:探讨实时超声引导下药物注射精准治疗梨状肌综合征的临床疗效。方法:选取2021年7月—2022年2月天津市公安医院治疗的80例梨状肌综合征患者,随机分为治疗组40例,以超声实时引导药物注射治疗梨状肌综合征;对照组40例,用传统常规盲穿药物注射治疗梨状肌综合征。对治疗后疼痛缓解程度采用疼痛视觉模拟量表(VAS),以超声显示梨状肌厚度的变化作为辅助评价。结果:实时超声引导下药物注射治疗梨状肌综合征对疼痛有明显的缓解作用,梨状肌厚度得到了明显恢复,达到了精准治疗的效果,治疗3周后,临床标准治愈率为97.5%,超声诊断梨状肌治愈率95%,均高于对照组,其差异具有统计学意义(P<0.05)。结论:实时超声引导下药物注射梨状肌综合征较传统盲穿能够达到精准、显著的治疗效果,此方法操作安全、简便、无辐射、疗效显著,值得在临床大力推广。

Objective To investigate the clinical efficacy of precise real-time ultrasound-guided drug injection in the treatment of piriformis syndrome.Methods 80 patients with piriformis syndrome enrolled and were randomly divided into the treatment group(n=40)and the control group(n=40).The treatment group received real-time ultrasound-guided drug injection,while the control group received conventional drug injection.A visual analogue scale(VAS)was used to evaluate the degree of pain relief after the treatment.The thickness of the piriformis muscle was measured by ultrasound,and the change in thickness was used as an auxiliary evaluation index.Results Under the guidance of real-time ultrasound,drug injection treatment for piriformis syndrome had an obvious pain relief effect,piriformis muscle thickness was significantly restored,and the effect of precise treatment was achieved.After 3 weeks of treatment,the clinical standard cure rate in the treatment group was 97.5%,and the cure rate in the ultrasonic diagnosis of the piriformis muscle was 95%.Both were higher than in the control group,and the difference was statistically significant(all P<0.05).Conclusions Real-time ultrasound-guided drug injection for piriformis syndrome can achieve an accurate and significant therapeutic effect compared with traditional blind puncture.The real-time ultrasound-guided drug injection is safe,simple,radiation-free,and has a significant therapeutic effect.Therefore,this method for treating piriformis syndrome is worthy of being vigorously promoted in clinical practice.