【摘要】 目的观察体外冲击波治疗军事训练致腕部三角纤维软骨复合体(triangular fibrocartilage complex,TFCC)损伤的疗效。方法对门诊14例TFCC损伤患者行体外冲击波治疗,选用痛点及腕关节周围组织,治疗压力1.5~2.5 Bar,频率10 Hz,冲击次数3000次,1周治疗1次,4次为1个疗程。根据改良mayo腕关节评分和视觉模拟评分法(Visual Analogue Scale/Score,VAS)评价疗效。结果治疗后mayo评分明显改善,治疗效果为优9例、良3例、可2例;VAS评分明显下降,与治疗前比较有显著性差异(P<0.05)。显效14例,有效率100%;治疗后随访半年无复发。结论体外冲击波治疗TFCC损伤疗效好,操作简单,无副作用。更多还原

【Abstract】 Objective To study the effect of extracorporeal shock wave on the injury of triangular fibrocartilage complex in wrist induced by military training. Methods Fourteen out- patient cases accepted extracorporeal shock wave therapy in the pain point and the around of the wrist with 1. 5- 2. 5 Bar impact pressure,10 times / second,3000 impacting times,once a week,for4 weeks. Mayo scores and Visual Analogue Scale( VAS) were taken to evaluate the therapeutic effect. Results After the treatment,the mayo scores were improved significantly,and the therapeutic effect included 9 excellent cases,3 good cases,and 2moderate cases. Compared with the pretherapy,the VAS decreased obviously( P < 0. 05). The total effective rate of extracorporeal shock wave on the injury of triangular fibrocartilage complex was 100 % in all 14 cases. Follow- up visit lasted for half a year with no recurrence. Conclusion Extracorporeal shock wave has significant therapeutic effect on the injury of triangular fibrocartilage complex,with operation easily and no adverse reactions.更多还原