超声引导下针刀联合富血小板血浆注射治疗II期肩峰下撞击综合征的疗效观察

Observation of the Efficacy of Needle Knife Combined with Platelet-Rich Plasma Injection Guided by Ultrasound in the Treatment of Stage II Subacromial Impingement Syndrome

摘要: 目的：观察对II期肩峰下撞击综合征患者采用超声引导下针刀联合富血小板血浆注射治疗的效果。方法：将59例肩峰下撞击综合征患者按随机数字法分为对照组(29例)，观察组(30例)，对照组采用超声引导下针刀治疗，观察组采用超声引导下针刀联合富血小板血浆治疗，两组患者每周治疗1次，连续治疗3周。通过比较两组患者治疗前后的NRS评分、Constant-Murly评分及肩峰下滑囊厚度。结果：治疗后两组患者NRS评分及肩峰下滑囊厚度均较治疗前下降(P < 0.05)，且观察组低于对照组。Constant-Murly评分升高，观察组评分高于对照组(P < 0.05)。结论：超声引导下针刀联合富血小板血浆注射治疗II期肩峰撞击综合征可改善患者的症状，降低滑囊厚度，具有确切疗效。

Abstract: Objective: To observe the effect of ultrasound-guided needle knife combined with Platelet-Rich Plasma injection treatment for patients with stage II subacromial impingement syndrome. Methods: Fifty-nine patients with subacromial impingement syndrome were randomly allocated using a random number table into a control group (n = 29) and an observation group (n = 30). The control group received ultrasound-guided needle knife therapy, the control group was treated with needle-knife therapy in combination with Platelet-Rich Plasma therapy. The intervention was performed once per week for a total of three treatment sessions. Compare the NRS scores, Constant-Murly scores, and subacromial bursa thickness of the two groups of patients before and after treatment. Results: Post-intervention analysis revealed significant decreases in both NRS scores and subacromial bursa thickness from baseline in both groups (P < 0.05), with superior outcomes observed in the treatment group versus controls. Constant-Murly scores increased in both groups, with the observation group scoring higher than the control group (P < 0.05). Conclusion: Ultrasound-guided needle knife combined with Platelet-Rich Plasma therapy can effectively improve pain and reduce bursa thickness in patients with stage II acromioclavicular impingement syndrome, with definite therapeutic effects.