专业运动员髌腱末端病保守疗法的超声随访

发布时间：2018-04-01 04:30

本文选题：髌腱末端病　切入点：肌骨超声　出处：《中国医学科学院学报》2015年05期

【摘要】：目的探讨高频超声在专业运动员髌腱末端病保守治疗中的疗效评估价值。方法 24名髌腱末端病的专业运动员,根据体外超声波治疗强度随机分为无痛组、微痛组和极痛组,每组8名。记录治疗前后髌腱的高频声像图特征变化,包括二维病变范围、彩色多普勒血流显像(CDFI)的血流情况,并与传统的临床疗效评估方法进行对比分析。结果经过2个疗程终止研究后,疼痛消失或缓解的运动员在无痛、微痛和极痛组的比例分别为37.5%、87.5%和62.5%。无痛、微痛和极痛组的疼痛评分治疗前分别为(4.50±2.07)、(4.88±1.13)和(6.13±1.55)分;治疗后分别为(4.88±2.17)、(3.00±1.77)和(5.13±2.36)分。其中,微痛组与极痛组的疼痛评分治疗前后均值均明显减少,微痛组治疗前后差异有统计学意义(P0.05)。以髌腱厚度变薄、低回声面积变小及血流分布变少做为炎症好转的超声指标,将结果分为有效、无效进行评价,结果显示无痛、微痛和极痛组的有效率分别为38%、50%和62%,其中,微痛和极痛组均明显高于无痛组(P均0.05)。结论高频超声可以客观、定量地显示髌腱末端病保守治疗中的声像图变化,较临床评估更能真实反映病变恢复情况。
[Abstract]:Objective to evaluate the efficacy of high-frequency ultrasound in the conservative treatment of patellar tendinopathy in professional athletes.Methods Twenty-four professional athletes with patellar tendon terminal disease were randomly divided into painless group, slight pain group and extreme pain group according to the intensity of extracorporeal ultrasound.The characteristics of high frequency sonogram of patellar tendon were recorded before and after treatment, including the range of two-dimensional lesions, the blood flow of color Doppler flow imaging (CDFI), and compared with the traditional clinical evaluation methods.Results after two courses of treatment, the proportion of painless, mild and severe pain groups were 37.5% and 62.5%, respectively.The pain scores of painless, mild and extreme pain groups were 4.50 卤2.07 卤4.88 卤1.13) and 6.13 卤1.55 before treatment, and 4.88 卤2.17 卤1.77) and 5.13 卤2.36 respectively after treatment.The mean value of pain score before and after treatment was significantly decreased in the mild pain group and the extreme pain group, and there was significant difference between the two groups before and after treatment (P 0.05).The thickness of patellar tendon was thinned, the area of hypoechoic was reduced and the distribution of blood flow was decreased as the ultrasonic index of inflammation improvement. The results were divided into effective and ineffective evaluation. The effective rates of painless, mild and extreme pain groups were 3850% and 622%, respectively.The level of pain and extreme pain in both groups were significantly higher than those in the painless group (P < 0.05).Conclusion High-frequency ultrasound can objectively and quantitatively display the changes of sonogram in conservative treatment of patellar tendinopathy, which can reflect the recovery of patellar tendon disease more accurately than clinical evaluation.
【作者单位】：北京大学第三医院超声诊断科;中国石油勘探开发研究院卫生所超声科;北京体育大学运动康复系;
【基金】：首都临床特色应用研究(z121107001012141)~~
【分类号】：R445.1

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