激光针刀、药物注射联合超短波治疗鹅足滑囊炎的临床研究

摘要

Objective It is to observe the clinical efficacy of triple therapy( laser needle-knife surgery plus drug injection and ultrashort wave therapy)on Pes anserinus tendinitis bursitis syndrome(PATB).Methods Fifty-five patients with PATB were randomly allocated to treatment group ( 30 cases ) and control group ( 25 cases ) , the treatment group was treated by strengthen the riple therapy( laser needle-knife surgery plus drug injection and ultrashort wave therapy) , the control group was treated by Glucosamine sulfate capsules only.7 days was one treatment course and both groups were treated for two courses. VAS scores were evaluated before and after treatment in both group, and the clinical curative effect were compared.Results After treatment, VAS scores in both groups were improved compared with that before treatment (P<0.05), and the improve-ment of VAS scores in the treatment group was more significant than that in the control group(P<0.05).The clinical cure rate and total efficacy rate were significantly higher in the treatment group than that in the control group.Conclusion The triple ther-apy( laser needle-knife surgery plus drug injection and ultrashort wave therapy) has a good curative effect on PATB, which can obviously relive the patients'pain symptoms, and its effect is superior to that of treatment with glucosamine sulfate capsules only.%目的：观察激光针刀＋药物封闭注射＋超短波联合治疗鹅足滑囊炎的临床疗效。方法将55例鹅足滑囊炎患者按患者意愿分为2组，治疗组35例给予激光针刀＋药物封闭注射＋超短波联合治疗，对照组20例给予硫酸氨基葡萄糖胶囊口服，2组均以7 d为1个疗程，连续治疗4个疗程。观察2组治疗前后视觉模拟评分量表（ VAS）疼痛评分，比较2组临床治疗效果。结果治疗结束后，2组VAS 疼痛评分均较治疗前明显改善（ P 均＜0.05），且治疗组VAS疼痛评分改善程度明显优于对照组（P＜0．05）。治疗组临床治愈率及总有效率均明显高于对照组（P均＜0．05）。结论激光针刀＋药物封闭注射＋超短波联合治疗鹅足滑囊炎疗效好，可明显改善患者临床疼痛症状，效果优于口服药物治疗。