超声引导下足底跖腱膜炎药物注射治疗的疗效评估

发布时间：2018-04-13 14:28

本文选题：跖腱膜炎 + 超声引导　；参考：《中国超声医学杂志》2017年09期

【摘要】：目的评估实时超声引导下药物注射治疗足底跖腱膜炎的安全性及有效性。方法选取在我科进行足底跖腱膜炎注射治疗的患者30例,结合患者临床病史,行超声引导下药物注射治疗。记录治疗前和治疗后1、6个月的跖腱膜厚度和疼痛VAS评分。注射治疗药物为复方倍他米松和盐酸利多卡因混合液。结果 30例患者均顺利完成超声引导下药物注射治疗,无明显并发症。超声均表现为足底跟骨结节处跖腱膜肿胀增厚、回声减低,平均厚度约(4.5±1.0)mm;治疗后1个月平均厚度为(4.0±0.8)mm,治疗后6个月平均厚度为(4.1±1.1)mm,与治疗前比较均具有统计学差异(P0.001)。30例患者药物注射治疗前VAS评分为(8.53±0.57)分,治疗后1个月VAS评分(2.36±0.55)分,治疗后6个月VAS评分为(3.53±0.62)分,与治疗前比较明显降低并具有统计学差异(P0.001)。结论实时超声引导下药物注射治疗足底跖腱膜炎是一种安全、有效的方法。
[Abstract]:Objective to evaluate the safety and efficacy of real-time ultrasound-guided drug injection in the treatment of plantar plantar aponeurosis.Methods A total of 30 patients with plantar plantar aponeurositis were treated with ultrasound guided drug injection combined with clinical history.The thickness of plantar aponeurosis and VAS score of pain were recorded before and 1 and 6 months after treatment.The injection drug was compound betamethasone and lidocaine hydrochloride.Results all 30 patients were successfully treated with ultrasound-guided drug injection without obvious complications.Ultrasound showed swelling and thickening of metatarsal aponeurosis at the tubercle of calcaneus plantaris and decreased echo.At 6 months after treatment, the VAS score was 3.53 卤0.62, which was significantly lower than that before treatment (P 0.001).Conclusion it is a safe and effective method to treat plantar plantar aponeurosis with real-time ultrasound-guided drug injection.
【作者单位】：北京大学第三医院超声诊断科;北京体育大学运动康复系;
【基金】：中央高校基本科研业务费专项资金资助课题(No.2015ZX022)
【分类号】：R445.1;R686.3

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