超声下可视化针刀治疗粘连性肩关节囊炎的研究进展

Research Progress on Acupotomy for Adhesive Capsulitis with Ultrasound-Based Visualization

摘要: 目的：整合中医经筋理论与现代超声技术，提出“可视化经筋解结”假说，探讨其在粘连性肩关节囊炎治疗中的机制与临床价值。方法：系统梳理经筋理论的历史沿革，结合超声引导针刀治疗的技术特点，构建“筋结–超声可视化–精准松解”理论框架，并通过文献分析与临床数据验证假说的科学性。结果：经筋理论自《黄帝内经》发源，发展至今已形成系统理论体系，自2010年前后，以乔晋琳、李石良等教授为代表的团队开始系统探索；超声引导技术实现了经筋结点的精准定位与动态可视化松解，显著提高了治疗的安全性与有效性。临床研究表明，该技术对肩周炎、颈椎病等多种经筋病具有明确疗效。结论：“可视化经筋解结”假说不仅推动了经筋理论的现代化发展，也为中西医结合诊疗提供了新思路与方法，具备重要的理论研究价值与广阔的临床应用前景。

Abstract: Objective: To integrate traditional Chinese medicine (TCM) meridian-sinew theory with modern ultrasound technology, propose the hypothesis of “visualized release of sinew nodes”, and explore its mechanism and clinical value in the treatment of adhesive capsulitis of the shoulder. Methods: The historical evolution of meridian-sinew theory was systematically reviewed. Combined with the technical features of ultrasound-guided acupotomy therapy, a theoretical framework of “sinew node-ultrasound visualization-precise release” was constructed. The scientific validity of the hypothesis was verified through literature analysis and clinical data. Results: Meridian-sinew theory originated from The Yellow Emperor’s Inner Canon and has developed into a systematic theoretical system. Since around 2010, research teams represented by Professors Qiao Jinlin and Li Shiliang have systematically explored this approach. Ultrasound-guided technology enables precise localization and dynamic visual release of sinew nodes, significantly improving the safety and effectiveness of treatment. Clinical studies have demonstrated the definite efficacy of this technique in treating various meridian-sinew disorders such as frozen shoulder and cervical spondylopathy. Conclusion: The “visualized release of sinew nodes” hypothesis not only promotes the modernization of meridian-sinew theory but also provides new ideas and methods for the integration of TCM and Western medicine in diagnosis and treatment. It possesses significant theoretical research value and broad clinical application prospects.