中国骨伤2025，Vol.38Issue(6)：601-607,7.DOI:10.12200/j.issn.1003-0034.20240390
肌骨超声引导下针刺治疗肩关节镜下肩袖缝合术后肌筋膜疼痛综合征的疗效分析
Analysis of rapeutic effect of musculoskeletal ultrasound-guided acupuncture for the treatment of myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy
摘要
Abstract
Objective To compare clinical efficacy of musculoskeletal ultrasound-guided acupuncture treatment and radi-ation extracorporeal shock wave therapy in myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy.Methods From June 2021 to April 2022,75 patients with myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy were admitted and divided into musculoskeletal ultrasound group and extracorporeal shock wave group according to different treatment methods.There were 39 patients in musculoskeletal ultrasound group,including 12 males and 27 fe-males,aged from 43 to 77 years old with an average of(56.33±9.45)years old;11 patients on the left side and 28 patients on the right side;the course of disease with a median of 7.00(4.00,12.00)weeks;acupuncture treatment was performed under the guidance of musculoskeletal ultrasound.There were 36 patients in extracorporeal shock wave group,including 16 males and 20 females,aged from 46 to 72 years old with a median of(58.94±8.94)years old;12 patients on the left side and 24 patients on the right side;the course of disease with an average of 5.50(4.00,8.00)weeks;extracorporeal shock wave therapy with radia-tion were performed.Visual analogue scale(VAS)and American shoulder and elbow surgeons score(ASES)were compared between two groups to evaluate improvement of shoulder joint pain and function before treatment and 1,3,6,12,and 24 months after treatment.Results Both of two groups were followed up for 24 to 27 months with an average of(24.68±0.89)months.No complications such as infection and vascular and nerve injury occurred during follow-up period.At 6 months after treatment,VAS of musculoskeletal ultrasound group(2.00±1.19)was lower than that of extracorporeal shock wave group(3.08±1.02),and the difference was statistically significant(P＜0.05).At 1,3,12 and 24 months after treatment,there were no statistically significant difference in VAS between two groups(P＞0.05).At 3,6 and 12 months after treatment,ASES scores of muscu-loskeletal ultrasound group were(77.44±11.56),(86.06±6.11),and(89.44±4.66)respectively,which were higher than those of extracorporeal shock wave group(55.23±12.76),(58.10±10.25),(84.03±7.36),the differences were statistically significant(P＜0.05);there were no statistically significant difference in ASES between two groups at 1 and 24 months after treatment(P＞0.05).Conclusion Musculoskeletal ultrasound-guided acupuncture treatment has advantages of faster pain relief and more rapid improvement of shoulder joint function for myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy compared with radioactive extracorporeal shock wave therapy.关键词
肩袖撕裂/肌筋膜疼痛综合征/肌骨超声/针刺治疗/放射式冲击波Key words
Rotator cuff tear/Myofascial pain syndrome/Musculoskeletal ultrasound/Acupuncture treatment/Radial shockwave分类
医药卫生引用本文复制引用
梁潇,王靖,夏晓辉,王洪涛..肌骨超声引导下针刺治疗肩关节镜下肩袖缝合术后肌筋膜疼痛综合征的疗效分析[J].中国骨伤,2025,38(6):601-607,7.基金项目
湖南省科技创新计划项目(编号:2021SK50914) （编号:2021SK50914）
湖南省卫生健康委科研计划项目(编号:202204072889)Science and Technology Innovation Program of Hunan Province(No.2021SK50914) （编号:202204072889）
