中西医论治肩袖钙化性肌腱炎的研究进展

Research Progress on the Diagnosis and Treatment of Rotator Cuff Calcific Tendonitis in Traditional Chinese Medicine and Western Medicine

摘要: 肩部钙化性肌腱炎(RCCT)是由于钙化物质在关节周围的肌腱中沉积，刺激肌腱并导致其柔韧性下降及炎症反复发作的非创伤性肩部疾病。其确切的发病机制目前尚未完全明确。RCCT在中医学中属于“痹症”等范畴，中医对肩痹疼痛的研究历史悠久。目前，针对肩袖钙化性肌腱炎的治疗方法尚未形成统一的标准，中西医治疗各有其优势。鉴于本病具有自限性特点，保守治疗和微创治疗成为首选方案，对于那些经过保守治疗无效的RCCT患者，最终可能需要采取手术治疗。本文旨在探讨肩袖钙化性肌腱炎的中西医诊疗策略。

Abstract: Rotator cuff calcific tendonitis (RCCT) is a non-traumatic shoulder disease caused by the deposition of calcified substances in the tendons around the joint, which stimulates the tendons and leads to a decrease in flexibility and recurrent inflammation. The exact pathogenesis is currently not fully understood. RCCT belongs to the category of “bi syndrome” in traditional Chinese medicine, and the research history of shoulder bi pain in traditional Chinese medicine is long. At present, there is no unified standard for the treatment of calcified tendinitis of the rotator cuff, and both traditional Chinese and Western medicine have their own advantages in treatment. Given the self-limiting nature of this disease, conservative and minimally invasive treatments have become the preferred options. For RCCT patients who have failed conservative treatment, surgical intervention may ultimately be necessary. This article aims to explore the diagnosis and treatment strategies of calcified tendinitis of the rotator cuff using both traditional Chinese and Western medicine.