【摘要】 目的探讨肩峰下撞击综合征(SIS)2型超声介入治疗后复发的危险因素。方法回顾分析71例临床诊断SIS 2型,根据治疗方案分为单纯注射组(超声引导下肩峰下滑囊注射,n=16)及联合治疗组(超声引导下肩袖肌腱松解术+肩峰下滑囊注射,n=55),采用Logistic多因素回归分析影响治疗后复发的因素。结果联合治疗组治疗后1、3、6个月复发率明显低于单纯注射组(P均<0.001)。多因素回归分析显示,年龄、性别、SIS 2型病程均与复发无关,而治疗方法是治疗后复发的独立危险因素。结论采用超声引导下肩袖肌腱松解术+肩峰下滑囊注射治疗SIS 2型患者可降低治疗后复发风险。更多还原

【Abstract】 Objective To investigate the risks factors of recurrence of subacromial impingement type Ⅱ syndrome(SIS) in patients treated with ultrasound-guided interventional therapy. Methods Data of 71 patients with type Ⅱ SIS diagnosed clinically were analyzed retrospectively. According to treatment methods, the patients were divided into simple injection group(n=16, ultrasound-guided subacromial-subdeltoid bursa injection) and combined treatment group(n=55, ultrasound-guided rotator cuff fenestration+subacromial-subdeltoid bursa injection). The factors affecting recurrence after treatment were analyzed by Logistic multivariate regression analysis. Results The recurrence rate at 1, 3, 6 months after treatment in combined treatment group were significantly lower than those in simple injection(all P<0.001). Multivariate regression analysis showed that age, sex and course of disease had no relationship with recurrence, but treatment method was an independent risk factor for recurrence of patients with type Ⅱ SIS after treatment. Conclusion Ultrasound-guided rotator cuff fenestration+subacromial-subdeltoid bursa injection can reduce the risk of recurrence in patients with type Ⅱ SIS.更多还原