[1]马志昕 任树军△ 于冬冬 杜跃 秦书风 王登辉 郑宇.针刀联合体外冲击波治疗髌腱末端病54例[J].中国中医骨伤科杂志,2025,33(09):65-69.[doi:10.20085/j.cnki.issn1005-0205.250912]
　MA Zhixin REN Shujun YU Dongdong DU Yue QIN Shufeng WANG Denghui ZHENG Yu.Acupotomy Combined with Extracorporeal Shock Wave Therapy for 54 Cases of Patellar Tendon Enthesopathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(09):65-69.[doi:10.20085/j.cnki.issn1005-0205.250912]
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针刀联合体外冲击波治疗髌腱末端病54例()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年09期
页码:
65-69
栏目:
临床报道
出版日期:
2025-09-15

文章信息/Info

Title:
Acupotomy Combined with Extracorporeal Shock Wave Therapy for 54 Cases of Patellar Tendon Enthesopathy
文章编号:
1005-0205(2025)09-0065-05
作者:
马志昕1 任树军2△ 于冬冬1 杜跃1 秦书风1 王登辉1 郑宇1
1黑龙江中医药大学研究生院(哈尔滨,150040)
2黑龙江中医药大学附属第一医院
Author(s):
MA Zhixin1 REN Shujun2△ YU Dongdong1 DU Yue1 QIN Shufeng1 WANG Denghui1 ZHENG Yu1
1Heilongjiang University of Chinese Medicine,Harbin 150040,China; 2The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China.
关键词:
针刀;  体外冲击波;  髌腱末端病;  髌腱厚度
Keywords:
acupotomy;  extracorporeal shock wave;  patellar tendon enthesopathy;  patellar tendon thickness
分类号:
R686
DOI:
10.20085/j.cnki.issn1005-0205.250912
文献标志码:
B
摘要:
目的:观察针刀联合体外冲击波治疗髌腱末端病的临床疗效及安全性。方法:回顾性分析2023年9月至2024年11月就诊的髌腱末端病患者54例,采用针刀联合体外冲击波治疗,7 d为1个疗程,共治疗4个疗程。记录并分析治疗前、首个疗程后及疗程结束后3周的疼痛视觉模拟量表(VAS)评分、改良Lysholm膝关节评分、维多利亚运动评估研究所髌腱肌腱病评分量表(VISA-P)评分及超声下检测髌腱厚度。结果:疗程结束3周后VAS评分为(2.08±1.33)分,低于治疗前的(7.26±1.10)分和首个疗程后的(3.26±1.46)分; 疗程结束3周后改良Lysholm评分为(88.20±6.74)分,高于治疗前的(61.52±7.51)分和首个疗程后的(82.69±7.23)分; 疗程结束3周后VISA-P评分为(84.50±3.86)分,高于治疗前的(62.30±3.86)分和首个疗程后的(75.02±5.95)分; 疗程结束3周后髌腱厚度为(5.64±0.74)mm,低于治疗前的(7.45±1.20)mm和首个疗程后的(7.80±1.14)mm; 差异均有统计学意义(P<0.001)。临床治疗总有效率为92.59%。结论:针刀联合体外冲击波治疗髌腱末端病具有较好的临床疗效,操作简单、安全可靠,可明显改善患者的膝关节功能,提高患者生活质量,值得临床推广应用。
Abstract:
Objective:To observe the efficacy of acupotomy combined with extracorporeal shock wave therapy in treating patellar tendon enthesopathy.Methods:A retrospective analysis was conducted on 54 patients diagnosed with patellar tendon enthesopathy from September 2023 to November 2024.Treatment involved acupotomy combined with extracorporeal shock wave therapy,administered in 4 courses(7 d per course).Pain levels(visual analogue scale,VAS),functional status(Victoria Institute of Sport Assessment for Patellar Tendinopathy,VISA-P),and patellar tendon thickness under ultrasound were recorded and analyzed before treatment,after the first course,and 3 weeks post-treatment.Results:3 weeks after treatment completion,VAS scores decreased to(2.08±1.33)points,compared to(7.26±1.10)points pre-treatment and(3.26±1.46)points after the first course.After 3 weeks of treatment,the improved Lysholm score was(88.20±6.74)points,which was higher than the pre-treatment score of(61.52±7.51)points and the first course score of(82.69±7.23)points.VISA-P scores improved to(84.50±3.86)points,versus(62.30±3.86)points pre-treatment and(75.02±5.95)points after the first course.Patellar tendon thickness reduced to(5.64±0.74)mm,compared to(7.45±1.20)mm pre-treatment and(7.80±1.14)mm after the first course.All differences were statistically significant(P<0.05).The total clinical effective rate was 92.59%.Conclusion:Acupotomy combined with extracorporeal shock wave therapy demonstrates notable clinical efficacy for patellar tendon enthesopathy,offering advantages such as simplicity,safety,and reliability.It effectively improves knee joint function and warrants clinical promotion.

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(收稿日期:2025-04-12)

备注/Memo

备注/Memo:
△通信作者 E-mail:15244603358@163.com
更新日期/Last Update: 2025-09-15