高频超声精准定位下注射富血小板血浆治疗肩袖部分损伤的疗效分析

Analysis of the Therapeutic Effect of High Frequency Ultrasound and Precise Location of Platelet Rich Plasma Injection on Partial Rotator Cuff Injury

摘要: 目的：探讨高频超声精准定位下注射富血小板血浆治疗肩袖部分损伤的疗效分析。方法：选取我院2018年1月至2020年1月收治的肩袖部分损伤患者67例作为研究对象，按照治疗方案的不同分为对照组(n = 33)和观察组(n = 34)，对照组给予肩峰下注射玻璃酸钠治疗，观察组给予高频超声精准定位下注射富血小板血浆治疗，比较两组患者治疗临床效果；并于治疗前及治疗后3个月采用肩关节评分系统(UCLA)、美国肩肘关节外科医师协会评分(ASES)评分、肩关节功能测试CMS功能评分、视觉模拟法(VAS)评分评价两组患者肩功能；并于治疗后6个月观察两组患者恢复情况，包括疼痛消失时间、术后钙化灶消失时间、水肿消失时间以及活动功能恢复时间。结果：观察组治疗有效率为93.94% (31/33)明显高于对照组73.53% (25/34)，差异有统计学意义(P < 0.05)；治疗后两组患者UCLA、ASES、CMS以及VAS评分均较治疗前明显升高，且观察组者UCLA、ASES、CMS以及VAS评分明显高于对照组(P < 0.05)；观察组疼痛消失时间、术后钙化灶消失时间、水肿消失时间以及活动功能恢复时间均较对照组缩短(P < 0.05)。结论：高频超声精准定位下注射富血小板血浆治疗肩袖部分损伤可明显改善患者肩功能，缓解疼痛，促进恢复，疗效显著，具有明显的应用价值。

Abstract: Objective: To investigate the effect of high frequency ultrasound precise positioning injection of platelet rich plasma in the treatment of rotator cuff injury. Methods: 67 patients with partial rotator cuff injury in our hospital from January 2018 to January 2020 were selected as the research objects, and they were divided into the control group (n = 33) and the observation group (n = 34) according to different treatment schemes. The control group was given subacromial injection of sodium hyaluronate, and the observation group was given injection of platelet rich plasma under precise positioning of high frequency ultrasound. The shoulder function of the two groups was evaluated by UCLA, ASES, CMS and VAS before and 3 months after treatment, and the recovery of the two groups was observed at 6 months after treatment, including pain disappearance time, postoperative calcification disappearance time and edema disappearance Time and activity recovery time. Result: The effective rate of the observation group was 93.94% (31/33), which was significantly higher than 73.53% (25/34) of the control group (P < 0.05); after treatment, the scores of UCLA, ASES, CMS and VAS in the two groups were significantly higher than those before treatment, and the scores of ASES, CMS and VAS in the observation group were significantly higher than those in the control group (P < 0.05); the pain disappeared time and postoperative calcification disappeared in the observation group. Compared with the control group, the time of edema disappearance and the recovery time of activity function were shorter (P < 0.05). Conclusion: The high frequency ultrasound precise positioning injection of platelet rich plasma in the treatment of rotator cuff injury can significantly improve the shoulder function, relieve pain and promote recovery, with significant curative effect and obvious application value.