冲击波治疗慢性跟腱病的临床研究进展

Clinical Research Progress in Shock Wave Treatment for Chronic Achilles Tendinopathy

冲击波是一种利用相关发生器(如液电/电磁等)产生的脉冲声波,特点(如高压强性/短时性/宽频性等)显著,其机械效应(即声波直接冲击/空化间接作用)均可对靶器官组织、细胞变化等发挥十分明显的治疗干预作用。现阶段冲击波治疗被广泛运用在跟腱病、肩肌腱炎等各种类型骨关节疾病无创伤性保守治疗中。慢性跟腱病是一种较为常见的、诱发足跟痛的疾病,通常出现在一些跳跃项目运动员中,如排球、跳高等;且临床对该疾病的发病原因、发病机制不确定,主要采取保守方式(如牵拉/支具保护等)进行治疗,可缓解疼痛感。本文通过总结归纳冲击波对慢性跟腱病的治疗效果,以期对临床提供一定借鉴,现报道如下。

Shock wave is mainly a kind of pulse acoustic wave formed by liquid electric/piezoelectric/electromagnetic and many other generators,which has the characteristics of high voltage intensity,broadband and short time.The direct mechanical impact effect of acoustic wave and the indirect mechanical effect of cavitation can play a good therapeutic role in the change of body tissues and cells.At present,shock wave therapy is widely used in the noninvasive conservative treatment of various types of bone and joint diseases,such as achilles tendon disease and shoulder tendinitis.Chronic Achilles tendinitis is a common disease that induced heel pain,usually occurs in some jumping athletes,such as volleyball and high jump,and the cause of the disease is uncertain,mainly adopt a conservative treatment(such as pull/support protection)to relieve pain.This paper summarizes the treatment effect of shock wave on chronic Achilles tendinopathy in order to provide some clinical reference,which is reported as follows.