del Cura Jose Luis, Torre Iñaki, Zabala Rosa, Legórburu Ana
Department of Radiology, Hospital de Basurto, Ave. Montevideo 18, 48013 Bilbao, Spain.
AJR Am J Roentgenol. 2007 Sep;189(3):W128-34. doi: 10.2214/AJR.07.2254.
The purpose of our study was to evaluate the short- and long-term effectiveness of sonographically guided percutaneous needle aspiration and lavage in calcific tendinitis of the shoulder and to study the progress of calcifications and symptoms in the first year after treatment.
Symptoms and radiologic findings after percutaneous aspiration of calcific tendinitis were prospectively evaluated in the short and the long term using a shoulder pain and disability index, evaluation of shoulder motion, and a survey of the self-perception by the patients regarding the progress of their disease.
Sixty-seven consecutive shoulders were treated. A significant improvement was seen in shoulder motion, pain, and disability in the short term and in the long term (p < 0.0001). One year after treatment, 91% of shoulders had substantially or completely improved, 64% had perfect motion, and calcifications on radiography had resolved completely or nearly completely in 89%. A transitory recurrence was observed approximately 15 weeks after treatment in 44.3% of shoulders that improved.
Percutaneous needle aspiration and lavage is effective in the short term and in the long term in calcific tendinitis of the shoulder, with results similar to or better than those published for other techniques, and it is only slightly invasive and painful. Progress after treatment may include a transitory period of recurrence of the pain.
本研究旨在评估超声引导下经皮穿刺针吸和灌洗治疗肩部钙化性肌腱炎的短期和长期疗效，并研究治疗后第一年钙化灶和症状的进展情况。
采用肩部疼痛和功能障碍指数、肩部活动度评估以及患者对自身疾病进展的自我认知调查，对经皮穿刺抽吸钙化性肌腱炎后的症状和影像学表现进行短期和长期的前瞻性评估。
连续治疗67例肩部。短期和长期内，肩部活动度、疼痛和功能障碍均有显著改善（p < 0.0001）。治疗后一年，91%的肩部有显著或完全改善，64%的肩部活动完美，89%的肩部X线片上的钙化灶已完全或几乎完全消失。44.3%改善的肩部在治疗后约15周出现短暂复发。
经皮穿刺针吸和灌洗治疗肩部钙化性肌腱炎短期和长期均有效，结果与其他技术相当或更好，且创伤小、疼痛轻。治疗后的进展可能包括疼痛的短暂复发期。
