南方医科大学学报2018，Vol.38Issue(2)：135-140,6.DOI:10.3969/j.issn.1673-4254.2018.02.03
气压弹道式放散性冲击波和超声引导下类固醇激素介入治疗足底筋膜炎的预后分析
Prognostic analysis of plantar fasciitis treated by pneumatic ballistic extracorporeal shock wave versus ultrasound guided intervention
摘要
Abstract
Objective To compare the medium- and long-term effect of pneumatic ballistic extracorporeal shock wave versus ultrasound-guided hormone injection in the treatment of plantar fasciitis. Methods The clinical data were collected from patients with plantar fasciitis admitted to PLA General Hospital pain department from September, 2015 to February, 2017. The patients were randomly divided into ultrasound-guided drug injection group and shock wave group. The therapeutic parameters including the numerical rating scale (NRS) scores in the first step pain in the morning, American Orthopedic Foot and Ankle Society (AOFAS) Ankle Hindfoot Scale, and thickness of the plantar fascia were monitored before and at 1 week, 1 month, 3 months, and 6 months after the treatment. The recurrence rate, effectiveness, and patient satisfaction were compared between the two groups at 6 months after the treatment. Results Thirty-nine patients were enrolled in shock wave group and 38 patients in ultrasound group. The NRS scores in the first step pain in the morning were lowered after treatment in both groups (P<0.05), and the scores were significantly lower in ultrasound group than in shock wave group at 1 week and 1 month (P<0.01), but significantly higher in ultrasound group than in shock wave group at 3 and 6 months after treatment (P<0.05). The AOFAS functional scores were increased in both groups (P<0.05) at 6 months after treatment, was significantly lower in ultrasound group than in shock wave group than group B (90.44 ± 13.27 vs 75.76 ± 21.40; P<0.05). The effective rates in shock wave group and ultrasound group were 92.31％and 76.32％, respectively (P<0.05). Recurrence was found in 1 patient (2.56％) in shock wave group and in 8 (21.05％) in ultrasound group (P<0.05). The patient satisfaction scores were significantly higher in shock wave group than in ultrasound group (8.13 ± 2.67 vs 6.63 ± 3.75, P=0.048). Conclusion Pneumatic ballistic extracorporeal shock achieves better medium-and long-term outcomes than ultrasound-guided hormone injection in the treatment of plantar fasciitis.关键词
超声介入治疗/冲击波/足底筋膜炎Key words
ultrasound interventional therapy/extracorporeal shock wave/plantar fasciitis引用本文复制引用
霍修林,王克涛,张晓莹,杨倚天,曹福羊,杨静,袁维秀,米卫东..气压弹道式放散性冲击波和超声引导下类固醇激素介入治疗足底筋膜炎的预后分析[J].南方医科大学学报,2018,38(2):135-140,6.基金项目
解放军总医院临床科研扶持基金(2016FC-TSYS-1027) （2016FC-TSYS-1027）
