【摘要】 目的：探讨肌骨超声辅助体外冲击波疗法（ESWT）治疗陈旧性踝关节外侧副韧带损伤的效果。方法：选取2019年3月—2023年3月中国人民解放军联勤保障部队第989医院骨科门诊所收治65例陈旧性踝关节外侧副韧带损伤患者（77例踝关节），按随机数字表法将患者分为使用肌骨超声辅助ESWT的ET组（31例）及使用中药熏蒸及超短波治疗的TT组（46例）。比较两组视觉模拟评分法（VAS）评分、Kaikkonen踝关节损伤功能评分和简明健康状况调查表（SF-36）评分。结果：两组治疗后各时间节点VAS评分均较治疗前（T₀）降低（P<0.05）。治疗后15 d（T₁）,TT组VAS评分低于ET组（P<0.05）；治疗后3个月（T₄）,ET组VAS评分低于TT组（P<0.05）。两组治疗后各时间节点Kaikkonen踝关节损伤功能评分均较T₀时升高（P<0.05）;T₁时，TT组Kaikkonen踝关节损伤功能评分明显高于ET组（P<0.05）;T₄时，ET组Kaikkonen踝关节损伤功能评分高于TT组（P<0.05）。T₄时，ET组精力（VT）优于TT组，TT组精神健康（MH）优于ET组，差异均有统计学意义（P<0.05）。结论：在治疗陈旧性踝关节外侧副韧带损伤时，采用肌骨超声引导下ESWT，能够显著缓解局部症状，改善踝关节功能，并且与传统治疗方法相比，在远期疗效上更具有优势。更多还原

【Abstract】 Objective: To investigate the method and effect of musculoskeletal ultrasound assisted extracorporeal shock wave therapy（ESWT） in the treatment of old lateral collateral ligament injury of ankle joint.Method: From March 2019 to March 2023, 65 patients with old lateral collateral ligament injury of ankle joint（77 ankle joints） admitted to the orthopedics Outpatient Department of the 989th Hospital of the Chinese People’s Liberation Army Joint Logistics Support Force were selected, the patients were divided into the ET group with musculoskeletal ultrasound assisted ESWT（31 cases） and the TT group（46 cases） with traditional Chinese medicine fumigation and ultra-short wave therapy according to the random number table method. Visual analog scale（VAS）scores, Kaikkonen ankle joint injury function scores, and the MOS item short from health survey（SF-36） scores of two groups were compared. Result: VAS scores in both groups were lower than those before treatment（T₀） at each time point after treatment（P<0.05）; 15 days after treatment（T₁）, the VAS score in the TT group was lower than that in the ET group（P<0.05）; after 3 months of treatment（T₄）, the VAS score in the ET group was lower than that in the TT group（P<0.05）. The Kaikkonen ankle joint injury function scores at all time points after treatment in both groups were increased compared those T₀（P<0.05）; at T₁, the Kaikkonen ankle joint injury function score in the TT group was significantly higher than that in the ET group（P<0.05）; at T₄, the Kaikkonen ankle joint injury function score in the ET group was higher than that in the TT group（P<0.05）. At T₄, the vitality（VT） of the ET group was better than that of the TT group, and the mental health（MH） of the TT group was better than that of the ET group, the differences were statistically significant（P<0.05）. Conclusion: In the treatment of old lateral collateral ligament injury of ankle joint, using musculoskeletal ultrasound guided ESWT can significantly alleviate local symptoms, improve the function of the ankle joint, and compared with the traditional treatment methods, has more advantages in the longterm efficacy.更多还原