超声引导下富血小板血浆注射与干针治疗外上髁炎的疗效比较--随机对照试验。

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of Ultrasound Pub Date : 2024-06-01 Epub Date: 2024-02-23 DOI:10.1007/s40477-023-00846-9
G K Sharma, A Patil, P Kaur, S Rajesh, Elena Drakonaki, Rajesh Botchu
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引用次数: 0

摘要

目的:评估超声引导下的干针疗法是否足以同时治疗伸肌总腱撕裂和肌腱病,或者当伸肌总腱出现撕裂时,超声引导下的富血小板血浆(PRP)与干针疗法相比是否具有更好的疗效:这是一项单中心、单盲、随机对照试验,于2018年11月至2020年4月期间进行。根据临床和声像图特征诊断为外侧上髁炎且具有可比基线特征的 40 名患者被随机分配到两个研究组(干针疗法组和 PRP 组)。纳入标准为年龄在 20 岁或以上、症状持续至少 3 个月且声像图显示患有外侧上髁炎的患者。排除标准是经超声波检查证实总伸肌腱完全撕裂,以及患有其他相关疾病,如肩关节和肘关节骨性关节炎:结果:与干针组相比,PRP 组在 9 个月时的视觉模拟评分表疼痛评分有明显改善。但在 3 个月和 6 个月的随访中,这种差异并不明显。PRP 组总伸肌腱厚度的平均改善幅度(3 个月时为 5.1 毫米,6 个月时为 4.3 毫米)略好于干针疗法组(3 个月时为 4.4 毫米,6 个月时为 4.0 毫米)。在 3 个月时,两组的撕裂(如果存在)愈合情况没有差异。然而,在 6 个月的随访中,与干针疗法(平均值为 3.1)相比,PRP 在泪痕愈合方面的效果显著(平均值为 2.5):结论:与超声引导下的干针疗法相比,两次超声引导下的 PRP 注射对外侧上髁炎的非手术治疗更有益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of efficacy of ultrasound-guided platelet rich plasma injection versus dry needling in lateral epicondylitis-a randomised controlled trial.

Purpose: To assess whether Ultrasound guided dry needling is adequate for both common extensor tendon tears and tendinosis or whether ultrasound guided platelet rich plasma (PRP) has a superior outcome when compared to dry needling when there are tears of the common extensor tendon.

Materials and methods: This is a single-centre, single-blinded, randomised controlled trial conducted between November 2018 and April 2020. 40 patients diagnosed with lateral epicondylitis based on clinical and sonographic features and having comparable baseline characteristics were randomly assigned to the two study groups (dry needling and PRP). Inclusion criteria were patients aged 20 years or more who were symptomatic for at least 3 months with sonographic evidence of lateral epicondylitis. Exclusion criteria were complete tear of common extensor tendon confirmed on ultrasound and presence of other associated diseases like osteoarthritis of shoulder and elbow.

Results: There was significant improvement in the visual analogue scale pain score in PRP group compared to the dry needling group at 9 months. However, this difference was not evident at 3 and 6 months follow-up. Mean improvement in common extensor tendon thickness in PRP group (5.1 mm at 3 months and 4.3 mm at 6 months) was slightly better than dry needling (4.4 mm at 3 months and 4.0 mm at 6 months). There was no difference in tear (if present) healing between both groups at 3 months. However at 6 months follow up, PRP demonstrated significant (mean-2.5) healing in tear compared to dry needling (mean-3.1).

Conclusion: Two injections of Ultrasound guided PRP are more beneficial non operative treatment compared to ultrasound guided dry needling, in lateral epicondylitis.

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来源期刊
Journal of Ultrasound
Journal of Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
4.10
自引率
15.00%
发文量
133
期刊介绍: The Journal of Ultrasound is the official journal of the Italian Society for Ultrasound in Medicine and Biology (SIUMB). The journal publishes original contributions (research and review articles, case reports, technical reports and letters to the editor) on significant advances in clinical diagnostic, interventional and therapeutic applications, clinical techniques, the physics, engineering and technology of ultrasound in medicine and biology, and in cross-sectional diagnostic imaging. The official language of Journal of Ultrasound is English.
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