体外冲击波疗法治疗肌肉骨骼系统疾病研究的相关进展

摘要

体外冲击波疗法（extracorporeal shock wave therapy，ESWT）治疗肌肉骨骼系统疾病的应用已经有十多年历史，主要用于治疗过度运动造成的腱性组织损伤疾病，如：足底筋膜炎、肱骨外上髁炎、钙化性或非钙化性冈上肌腱炎和髌腱损伤等。治疗成功率从65％提高到91％，并且几乎无任何并发症。ESWT也用于治疗长期骨折不愈合、股骨头缺血坏死、距骨骨软骨损伤、慢性糖尿病或非糖尿病性溃疡和缺血性心脏病等疾病。绝大多数已发表的论文均指出其具有积极、有益的作用。ESWT是一种新型的无需手术、避免了手术风险、非侵入性的治疗方式。本文阐述了ESWT治疗肌肉骨骼系统疾病研究的进展及应用，并对本领域未来进行了展望。%The application of extracorporeal shockwave therapy (ESWT) in musculoskeletal disorders has been around for more than a decade and is primarily used in the treatment of sports related over-use tendinopathies such as proximal plantar fasciitis of the heel, lateral epicondylitis of the elbow, calciifc or non-calciifc tendonitis of the shoulder and patellar tendinopathy etc. The success rate ranged from 65%to 91%, and the complications were low and negligible. ESWT is also utilized in the treatment of non-union of long bone fracture, avascular necrosis of femoral head,osteochondral lesions of the talus, chronic diabetic and non-diabetic ulcers and ischemic heart disease. The vast majority of the published papers showed positive and beneifcial effects. ESWT is a novel non-invasive therapeutic modality without surgery or surgical risks. This article reviews the current status of ESWT in musculoskeletal disorders. This paper expounds the research progression and application on musculoskeletal disorders of ESWT, this ifeld and the future was prospected.