富血小板血浆注射治疗部分厚度肩袖撕裂疗效观察

Observation of Injection of Platelet Rich Plasma in the Treatment of Partial Thickness Rotator Cuff Tear

目的:观察超声引导下富血小板血浆注射治疗部分厚度肩袖撕裂的临床有效性和安全性。方法:选取部分厚度肩袖撕裂患者31名作为研究对象,在超声引导下向撕裂部位注射PRP 3 ml,每周注射1次,共注射3次。观察治疗前、治疗后1周、4周、12周VAS评分、CMS评分、Quick-DASH评分数值变化。结果:在治疗后1、4、12周PTRCT患者的VAS评分和Quick-DASH评分均较治疗前下降(P < 0.05),在治疗后1、4、12周PTRCT患者的CMS评分较治疗前升高(P < 0.05)。结论:超声引导下富血小板血浆注射可以有效缓解PTRCT患者的疼痛,改善肩关节功能,可以成为临床治疗部分厚度肩袖撕裂的一种有效、安全的手段。

Objective: The objective of this study was to observe the clinical efficacy and safety of ultrasound- guided injection of platelet rich plasma in the treatment of partial thickness rotator cuff tear. Methods: 31 patients with partial thickness rotator cuff tear were selected according to the inclu-sion criteria and injected with platelet rich plasma 3 ml into the tear site under the guidance of ul-trasound, once every week for three times. The changes of VAS score, CMS score and Quick-DASH score were observed before treatment and 1, 4, 12 weeks after treatment. Results: The VAS score and Quick-DASH score of PTRCT patients at 1, 4 and 12 weeks after treatment were significantly lower than those before treatment (P < 0.05), and the CMS score of PTRCT patients at 1, 4 and 12 weeks after treatment were significantly higher than those before treatment (P < 0.05). The differ-ences were statistically significant. Conclusion: Ultrasound-guided injection of platelet rich plasma can effectively relieve pain and improve shoulder joint function in patients with PTRCT. It can be an effective and safe method for clinical treatment of partial thickness rotator cuff tear.