冲击波疗法在膝关节股骨内髁复杂区域性疼痛综合征治疗中的应用。
Shockwave therapy in the management of complex regional pain syndrome in medial femoral condyle of the knee.
机构信息
Department of Clinical Methodology and Surgical Techniques, Orthopedics Section, Faculty of Medicine and Surgery, University of Bari, General Hospital, Italy.
出版信息
Ultrasound Med Biol. 2010 Jun;36(6):874-9. doi: 10.1016/j.ultrasmedbio.2010.03.012. Epub 2010 May 5.
The aim of this prospective study was to assess the efficacy of shockwave (SW) therapy in the management of complex regional pain syndrome (CRPS). In this study, 30 patients (pts) who were affected by CRPS of the medial femoral condyle and unresponsive to previous standard physiotherapeutic and pharmacological treatment underwent 3 SW sessions at 72-h intervals, each consisting of 4000 shocks emitted by a MiniLith SL1 Storz electromagnetic generator. An energy flux density (EFD) of 0.035 or 0.09 mJ/mm(2) was used, depending on how well the patient endured the pain during the treatment. Satisfactory results were observed in 76.7% of the cases (23 pts) at the 2-month follow-up (FU) visit, and in 80% (24 pts) at the 6-month FU visit. The therapeutic effects of SW were caused by decreasing pain. The significant improvements we obtained bear witness to the potential value of SW therapy in the management of CRPS.
本前瞻性研究旨在评估冲击波（SW）治疗在复杂区域疼痛综合征（CRPS）治疗中的疗效。在这项研究中，30 名内侧股骨髁 CRPS 患者在经过先前的标准物理治疗和药物治疗后没有反应，他们接受了 3 次 SW 治疗，间隔 72 小时，每次治疗由 Storz 电磁发生器的 MiniLith SL1 发出 4000 次冲击波。根据患者在治疗过程中对疼痛的耐受程度，采用 0.035 或 0.09 mJ/mm²的能量通量密度（EFD）。在 2 个月的随访（FU）时，76.7%（23 例）的患者取得了满意的结果，6 个月 FU 时，80%（24 例）的患者取得了满意的结果。SW 的治疗效果是通过减轻疼痛来实现的。我们取得的显著改善证明了 SW 治疗在 CRPS 治疗中的潜在价值。
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