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(P<0.05)。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。
Objective To investigate the role of high-frequency ultrasound（ HFUS） in evaluating in the effectiveness of conservative treatment for professional athletes with patellar tendon enthesiopathy. Methods According to different treatment intensities,24 professional athletes with patellar tendon enthesiopathy were randomly divided into painless group, slightly-painful group and extremely-painful group. Then changes of the HFUS findings [including ranges of two-dimensional diseases and blood conditions by Color Doppler Flow Imaging（ CDFI） ]of patellar tendon before and after the treatment were recorded. The results were also compared withconventional clinical treatment evaluations. Results After two courses of treatment,the percentage of athletes whose pain was resolved or disappeared was 37. 5% in painless group,87. 5% in slightly-painful group,and62. 5% in extremely-painful group. The pain score was 4. 50 ± 2. 07,4. 88 ± 1. 13,and 6. 13 ± 1. 55 in painless group,slightly-painful group,and extremely-painful group,respectively,before treatment and 4. 88 ± 2. 17,3. 00 ± 1. 77,and 5. 13 ± 2. 36 after treatment. The average pain score remarkably decreased in the slightly-painful group and extremely-painful group,and such difference was statistically significant in the slightly-pain group（ P〈0. 05）. The effective rate（ defined as thinner patellar,decreased hypoecho area and fewer blood distribution in the lesion） was 38%,50%,and 62% in the painless group,slightly-painful group,and extremelypainful group,and the rates in the slightly-painful group and extremely-painful group were significantly higher than that in painless group（ both P〈0. 05）. Conclusions HFUS can display the ultrasonographic changes of patellar tendon enthesiopathy after conservative treatments in an objective and quantitative manner. Compared with conventional clinical evaluations,it can more accurately reflect the disease recovery status.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2015年第5期580-584,共5页
Acta Academiae Medicinae Sinicae
基金
首都临床特色应用研究(z121107001012141)~~
关键词
髌腱末端病
肌骨超声
超声波治疗
patellar tendon enthesiopathy
muscle-bone ultrasound
ultrasonic treatment
