摘要
目的:探讨铍针联合推髌手法治疗髌骨外侧高压综合征(LPCS)的临床疗效。方法:选取2022年6月至2024年4月收治的确诊为髌骨外侧高压综合征患者90例,采用随机数字表法将患者分为三组(每组各30例)。铍针组患者接受铍针松解髌外侧支持带治疗,手法组患者接受推髌手法治疗,联合组患者则接受铍针松解髌外侧支持带与推髌手法的联合治疗。记录并比较三组患者治疗前及治疗结束时疼痛视觉模拟量表(VAS)评分及髌股关节功能评分(Kujala评分),通过膝关节CT扫描比较三组患者治疗前及治疗结束后3个月末次随访时髌骨倾斜角(PTA)及髌骨外移度(PLS)。记录并比较三组患者治疗结束后3个月的临床疗效。结果:所有患者均未出现感染等严重并发症。治疗前三组患者的VAS评分及Kujala评分差异无统计学意义(P>0.05),治疗后三组患者的评分均有显著改善,差异有统计学意义(P<0.05),其中联合组改善尤为突出,和其他两组相比差异有统计学意义(P<0.05)。在影像学方面,三组患者治疗前的髌骨倾斜角和髌骨外移度差异无统计学意义(P>0.05),随访结束时,三组患者以上指标较术前显著改善,差异有统计学意义(P<0.05),且与其他两组比较,联合组改善更显著,差异有统计学意义(P<0.05)。治疗结束后3个月,三组患者临床疗效比较,差异无统计学意义(P>0.05)。结论:铍针联合推髌手法治疗髌骨外侧高压综合征临床疗效满意,且可以在一定程度上纠正髌骨侧倾。
Objective:To explore the clinical effectiveness of patellar pushing technique combined with beryllium needle in treating lateral patellar compression syndrome(LPCS).Methods:90 cases of LPCS patients from June 2022 to April 2024 were selected.According to the treatment methods,these patients were divided into three groups,each containing 30 cases.The beryllium needle group received beryllium needle release of the lateral patellar support band,the manual group received patellar pushing technique,the combined group received a combination of beryllium needle release of the lateral patellar support band and patellar pushing technique.The vasual analogue scale(VAS)scores and Kujala scores were noted and contrasted pre-treatment and post-treatment across all three groups.Upon the conclusion of the first follow-up and 3 months after treatment,the patellar tilt angle(PTA)and patellar lateral shift(PLS)were documented and compared among all three groups.The clinical efficacy of the three groups was recorded and compared three months after treatment.Results:No serious complications like infection occurred in patients.Before treatment,VAS scores and Kujala scores had no notable difference among the three groups(P>0.05).Following treatment,the scores of all three groups improved significantly,showing statistically significant differences(P<0.05).The integrated group showed a more evident enhancement,with a significant difference compared to the other two groups(P<0.05).In terms of imaging,there was no significant difference in the patellar tilt angle and patellar eversion degree before treatment(P>0.05).But three months after treatment,these indexes improved notably compared to pre-treatment levels,with significant distinctions(P<0.05).In contrast to the other two groups,the combined group exhibited a more marked enhancement,with statistically significant distinctions(P<0.05).A comparative analysis of clinical outcomes was carried out among the three groups three months post-treatment,and no statistically significant distinctions were discovered(P>0.05).Conclusion:The combined use of beryllium needle therapy and patellar manipulation techniques for treating LPCS is clinically effective and can correct patellar tilt to some extent.
作者
王烁
龙大伟
杨辉宝
王卫
WANG Shuo;LONG Dawei;YANG Huibao;WANG Wei(First Clinical College of Anhui University of Chinese Medicine,Hefei 230031,China;Taihe Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Chinese Medicine,Taihe 236600,Anhui China)
出处
《中国中医骨伤科杂志》
2025年第12期30-35,共6页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
安徽中医药大学临床科研项目(2021LCTH26)。
关键词
髌骨外侧高压
铍针疗法
推拿疗法
髌骨外侧支持带
髌骨侧倾
lateral patellar high pressure
beryllium needle therapy
massage therapy
lateral patellar support band
lateral patellar tilt
