超声引导下液压扩张联合针刀松解治疗原发性冻结肩疗效观察.docxVIP

超声引导下液压扩张联合针刀松解治疗原发性冻结肩疗效观察 【摘要】目的探討超声引导下液压扩张联合针刀松解治疗原发性冻结肩疗效。方法80例原发性冻结肩患者，随机分为试验组和对照组，每组40例。试验组采用超声引导下液压扩张联合针刀松解治疗，对照组采用常规液压扩张联合针刀松解治疗。比较两组第1、2、3次治疗前及第3次治疗后2周视觉模拟评分法（vas）评分、匹茨堡睡眠质量指数量表（psqi）评分、constant-murley评分。结果第1次治疗前，两组vas评分、psqi评分、constant-murley评分比较差异无统计学意义（p0.05）。第2次治疗前，试验组患者vas评分（4.01±0.21）分、psqi评分（14.51±0.21）分、constant-murley评分（78.51±3.14）分优于对照组的（5.24±1.01）、（16.22±1.34）、（60.21±2.28）分，差异具有统计学意义（p0.05）。第3次治疗前及第3次治疗后2周，试验组vas评分、psqi评分、constant-murley评分均优于对照组，差异具有统计学意义（p0.05）。结论超声引导下液压扩张联合针刀松解术是基于微创介入手术和针刀松解术之间的中西医结合微创疗法，其特点是定点精确、创伤小、术后疼痛小、患者易接受，且费用低廉，为原发性冻结肩患者一种疗效确切的新术式，具有良好的社会效益。 【关键词】超声引导;液压扩张;针刀;原发性冻结肩;疗效 doi：10.14163/j.cnki.11-5547/r.2020.12.004 【abstract】objectivetodiscusstheefficacyofultrasonicguidedhydraulicexpansioncombinedwithneedle-knifereleaseinthetreatmentofprimaryfrozenshoulder.methodsatotalof80patientswithprimaryfrozenshoulderwererandomlydividedintoexperimentalgroupandcontrolgroup，with40casesineachgroup.theexperimentalgroupwastreatedbyultrasonicguidedhydraulicexpansioncombinedwithneedle-kniferelease，andthecontrolgroupwastreatedbyconventionalhydraulicexpansioncombinedwithneedle-kniferelease.thevisualanaloguescale（vas）score，pittsburghsleepqualityindex（psqi）score，andconstant-murleyscorebeforethe1st，2ndand3rdtreatmentand2weeksafterthe3rdtreatmentwerecomparedbetweenthetwogroups.resultsbeforethe1sttreatment，therewasnostatisticallysignificantdifferenceinvasscore，psqiscoreandconstant-murleyscorebetweenthetwogroups（p0.05）.beforethe2ndtreatment，vasscore（4.01±0.21）points，psqiscore（14.51±0.21）pointsandconstant-murleyscore（78.51±3.14）pointsoftheexperimentalgroupwerebetterthanthoseofthecontrolgroup（5.24±1.01），（16.22±1.34）and（60.21±2.28）points，andthedifferencewasstatisticallysignificant（p0.05）.beforethe3rdtreatmentand2weeksafterthe3rdtreatment，vasscore，psqiscoreandconstant-murleyscoreoftheexperimentalgroupwerebetterthanthoseofthecontrolgroup，andthedifferencewasstatisticallysignificant（p0.05）.conclusionultrasound-guidedhydraulicdilationcombinedw