中国康复2024，Vol.39Issue(4)：212-217,6.DOI:10.3870/zgkf.2024.04.005
超声引导下富血小板血浆注射治疗肩袖部分撕裂的临床疗效观察
Clinical efficacy of ultrasound-guided injection of platelet-rich plasma for partial rotator cuff tears
赵银娇 1滕兆伟 1李铁山1
作者信息
- 1. 青岛大学附属医院康复医学二科,山东青岛 266000
- 折叠
摘要
Abstract
Objective:To observe the clinical efficacy of ultrasound-guided injection of platelet-rich plasma for par-tial rotator cuff tears.Methods:Totally,40 patients with partial rotator cuff tears were randomized to platelet-rich plasma group and sodium hyaluronate group,20 patients in each group.Both groups were given injection once a week for a total of 3 times.The outcome measures included the Visual Analogue Scale(VAS),Constant-Murley Score(CMS)and American Shoulder and Elbow Surgeons Score(ASES)which were obtained from patients at the base line and 1,3,6 months after treatment.At the same time,tear sizes were measured by ultrasound at the base line and 6 months after treatment.Results:The VAS,CMS and ASES had no significant change between the two groups at 1st month after treatment.At 3rd and 6th month after treatment,the VAS scores in the platelet-rich plas-ma group were lower than those in the sodium hyaluronate group,and CMS and ASES scores in the platelet-rich plasma group were higher than those in the sodium hyaluronate group.At 3rd and 6th month after treatment,the tear sizes in the platelet-rich plasma group were lower than those in the sodium hyaluronate group.At any time of post-treatment follow-up,in the two groups,the VAS scores were lower than those at the base line(P＜0.05)and the CMS and ASES scores were higher than those at the base line(P＜0.05).Tear sizes in the platelet-rich plasma group were lower than those at the base line(P＜0.05),but tear sizes had no significant change in the sodium hya-luronate group.No serious adverse events related to the injection therapy were reported.Conclusions:Ultrasound-guided injection of platelet-rich plasma not only significantly improves shoulder pain and function in patients with partial rotator cuff tear,but also reduces the tear size and promotes regeneration of torn tendon tissue.关键词
富血小板血浆/超声引导注射/肩袖部分撕裂Key words
platelet-rich plasma/ultrasound-guided injection/partial rotator cuff tear分类
医药卫生引用本文复制引用
赵银娇,滕兆伟,李铁山..超声引导下富血小板血浆注射治疗肩袖部分撕裂的临床疗效观察[J].中国康复,2024,39(4):212-217,6.
