【摘要】 目的　探讨和分析应用闭合针刺封闭疗法治疗钙化性肩袖肌腱炎的疗效。　方法对 17例应用针刺封闭疗法治疗钙化性肩袖肌腱炎的患者进行随访 ,平均随访时间 9 3个月。治疗时采用 18或 16号粗针头对钙化灶进行反复穿刺 ,针刺封闭后第 4、6、8周以及随后每隔 4周随访患者 ,记录症状缓解情况并进行相同体位的X线片投照 ,应用ASES评分、Constant Murley评分、UCLA评分以及简易肩关节测验 (SST)问卷评估对比治疗前后的治疗结果。　结果　 17例中 15例在 1～ 3次针刺封闭注射后钙化灶消失 ,平均消失时间为 9 4周 (4～ 2 0周 )。治疗前ASES评分平均为 4 7 7(34～ 5 9) ,肩关节活动度平均为前屈上举 90°(70°～ 10 0°) ,外旋 15°(0°～ 30°) ,内旋L3～ 4 (L1～臀部 ) ;Constant Murley评分平均为 4 4 6 (34～ 5 4 ) ;UCLA评分平均为 11 6 (8～ 15 ) ;SST问卷这回答“是”的问题平均为 3 4个 (2～ 5个 )。经针刺封闭治疗后ASES评分平均为 87 1(72～ 91) ,肩关节活动度平均为前屈上举 14 3 5°(12 0°～ 16 0°) ,外旋 4 0°(30°～ 5 0°) ,内旋T8～T9水平 ;Constant Murley评分平均为 87 8(6 4～ 94 ) ;UCLA评分平均为 2 9 5 (19～ 33) ;SST问卷这回答“是”的问题平均为 9 1个(6～ 12个 )。治疗前后存在显著更多还原

【Abstract】 Objective To study the effect of close needling in the treatment of calcifying tendonitis. Methods Seventeen patients with calcifying tendonitis who had received close needling treatment were followed-up for 9.3 months on average. An 18-gauge or 16-gauge needle was used during needling. X-ray examnation was given 4, 6, 8 and every 4 weeks after needling. SST (simple shoulder test) questionnaire, ASES(American Shoulder & Elbow Suegeon) score, constant-Murley score and UCLA score were adopted for evaluation before and after treatment. Results Calcium deposition disappeared within 4-20 weeks mean 9.4 weeks in 15 of the 17 patients after needling for 1-3 times. Average ASES score before treatment was 47.7(34-59), forward elevation was 90°(70°-100°), external rotation was 15°(0°-30°), and internal rotation was L3-4(L1-buttock). Average constant-Murley score before treatment was 44.6(34-54), UCLA score was 11.6(8-15), and numbers of questions for “yes” in SST questionnaire was 3.4(2-5). After needling the average ASES score was 87.1 (72-91), forward elevation was 143.5° (120°-160°), external rotation was 40°(30°-50°), internal rotation was T 8-T 9, constant-Murley score was 87.8(64-94), UCLA score was 29.5(19-33), and numbers of questions for “yes” in SST questionnaire was 9.1 (6-12). Significant difference was found between before and after needling (ASES: P < 0.01,forward elevation, external rotation and internal rotation: P < 0.01, constant-Murley: P < 0.01, UCLA: P < 0.01, SST: P < 0.01). Conclusions Close needling is an effective method for the treatment of calcifying tendonitis. Symptoms and disability are greatly relieved non-surgically in most of patients. Care should be taken in differential diagnosis of degenerative calcification in chronic rotator cuff disease.更多还原