针刀治疗肩峰下撞击综合征的研究进展

Research Progress on the Application of Acupotomy for Subacromial Impingement Syndrome

摘要: 肩峰下撞击综合征(Subacromial Impingement Syndrome, SIS)是临床常见的肩关节疾病，以肩部疼痛和活动受限为主要表现。针刀疗法作为中医微创治疗技术的代表，近年来在SIS的治疗中展现出独特优势。研究表明，基于经筋理论或解剖学定位的针刀治疗能有效松解粘连、减压肩峰下间隙、改善肩关节功能，临床疗效优于常规保守治疗。超声引导技术的应用进一步提升了治疗的精准性与安全性。本文系统回顾了针刀治疗SIS的理论依据、技术演变与临床研究进展，旨在为针刀治疗SIS的临床规范化应用及后续研究提供参考。

Abstract: Subacromial impingement syndrome (SIS) is a common clinical shoulder disorder characterized by shoulder pain and limited mobility. As a representative minimally invasive therapy of traditional Chinese medicine, acupotomy has shown unique advantages in the treatment of SIS in recent years. Studies have demonstrated that acupotomy based on the tendon-meridian theory or anatomical positioning can effectively release adhesions, decompress the subacromial space and improve shoulder joint function, with superior clinical efficacy compared with conventional conservative treatments. The application of ultrasound guidance further enhances the accuracy and safety of the treatment. This paper systematically reviews the theoretical basis, technical evolution and clinical research progress of acupotomy for SIS, aiming to provide references for the standardized clinical application and further research of this therapy.