| 江昊,林章雅,赵作梁,林苏,叶真,傅巧敏,阮琴韵.肩峰下撞击综合征超声引导下介入治疗后复发危险因素[J].中国医学影像技术,2019,35(6):904~908 |
| 肩峰下撞击综合征超声引导下介入治疗后复发危险因素 |
| Risk factors for recurrence of subacromial impingement syndrome treated with ultrasound-guided interventional therapy |
| 投稿时间：2018-09-09 修订日期：2019-04-18 |
| DOI：10.13929/j.1003-3289.201809044 |
| 中文关键词: 肩撞击综合征 超声检查,介入性 复发 |
| 英文关键词:shoulder impingement syndrome ultrasonography, interventional recurrence |
| 基金项目:福建医大启航基金项目（2016QH049）。 |
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| 中文摘要: |
| 目的 探讨肩峰下撞击综合征（SIS）2型超声介入治疗后复发的危险因素。方法 回顾分析71例临床诊断SIS 2型，根据治疗方案分为单纯注射组（超声引导下肩峰下滑囊注射，n=16）及联合治疗组（超声引导下肩袖肌腱松解术+肩峰下滑囊注射，n=55），采用Logistic多因素回归分析影响治疗后复发的因素。结果 联合治疗组治疗后1、3、6个月复发率明显低于单纯注射组（P均<0.001）。多因素回归分析显示，年龄、性别、SIS 2型病程均与复发无关，而治疗方法是治疗后复发的独立危险因素。结论 采用超声引导下肩袖肌腱松解术+肩峰下滑囊注射治疗SIS 2型患者可降低治疗后复发风险。 |
| 英文摘要: |
| Objective To investigate the risks factors of recurrence of subacromial impingement type Ⅱ syndrome (SIS) in patients treated with ultrasound-guided interventional therapy. Methods Data of 71 patients with type Ⅱ SIS diagnosed clinically were analyzed retrospectively. According to treatment methods, the patients were divided into simple injection group (n=16, ultrasound-guided subacromial-subdeltoid bursa injection) and combined treatment group (n=55, ultrasound-guided rotator cuff fenestration+subacromial-subdeltoid bursa injection). The factors affecting recurrence after treatment were analyzed by Logistic multivariate regression analysis. Results The recurrence rate at 1, 3, 6 months after treatment in combined treatment group were significantly lower than those in simple injection (all P<0.001). Multivariate regression analysis showed that age, sex and course of disease had no relationship with recurrence, but treatment method was an independent risk factor for recurrence of patients with type Ⅱ SIS after treatment. Conclusion Ultrasound-guided rotator cuff fenestration+subacromial-subdeltoid bursa injection can reduce the risk of recurrence in patients with type Ⅱ SIS. |
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