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超声引导下肩峰下富血小板血浆注射治疗部分肩袖损伤的疗效观察

张顺 李甲笠 罗丝丝 张河坚 程慧云

转化医学杂志2025,Vol.14Issue(2):5-9,5.
转化医学杂志2025,Vol.14Issue(2):5-9,5.DOI:10.3639/i.issn.2095-3097.2025.02.002

超声引导下肩峰下富血小板血浆注射治疗部分肩袖损伤的疗效观察

A Retrospective Study on the Effect of Ultrasound-Guided Subacromial PRP Injection for Partial Rotator Cuff Injury

张顺 1李甲笠 1罗丝丝 1张河坚 1程慧云1

作者信息

  • 1. 200090 上海,同济大学附属杨浦医院康复医学科
  • 折叠

摘要

Abstract

Objective To investigate the effect of ultrasound-guided subacromial platelet-rich plasma(PRP)injection for partial rotator cuff injury.Methods A retrospective analysis was conducted on the data of 150 patients with partial rotator cuff injury admitted to Yangpu Hospital Affiliated to Tongji University from July 2019 to June 2023.According to different treatment methods,the patients were divided into a control group(injection of compound betamethasone under ultrasound guidance,n=75)and an observation group(injection of autologous PRP under ultrasound guidance,n=75).The efficacy,visual analog scale(VAS),Constant-Murley shoulder score(CMS),inflammatory indicators(IL-6,TNF-α,TGF-β1)and the occurrence of adverse reactions were compared.Results The total effective rate in the observation group was higher than that in the control group(P<0.05).After treatment,the VAS scores,serum IL-6,TNF-α,and TGF-β1 levels decreased in both groups,and the indexes in the observation group were lower at 1 and 3 months after treatment(P<0.05).Both groups showed an increase in CMS scores after treatment,and the CMS in the observation group was higher than that in the control group at 1 and 3 months after treatment(P<0.05).The occurrence of adverse reactions showed no significant difference between the two groups(x2=0.429,P=0.513).Conclusion Ultrasound-guided subacromial PRP injection has a significant therapeutic effect on partial rotator cuff injuries,alleviating shoulder pain,improving shoulder joint function,and reducing inflammatory response in patients.

关键词

肩袖损伤/超声引导/肩峰下注射/富血小板血浆

Key words

rotator cuff injury/ultrasound guidance/subacromial injection/platelet-rich plasma

分类

医药卫生

引用本文复制引用

张顺,李甲笠,罗丝丝,张河坚,程慧云..超声引导下肩峰下富血小板血浆注射治疗部分肩袖损伤的疗效观察[J].转化医学杂志,2025,14(2):5-9,5.

基金项目

上海市卫生健康委员会青年科研项目(20234Y0056) (20234Y0056)

转化医学杂志

2095-3097

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