Chiavaras Mary M, Jacobson Jon A
Department of Radiology, McMaster University, Hamilton General Hospital, Hamilton, Ontario, Canada.
Semin Musculoskelet Radiol. 2013 Feb;17(1):85-90. doi: 10.1055/s-0033-1333942. Epub 2013 Mar 13.
A potential treatment for chronic tendinosis or tendinopathy is percutaneous ultrasound-guided tendon fenestration, also termed dry needling or tenotomy. This procedure involves gently passing a needle through the abnormal tendon multiple times to change a chronic degenerative process into an acute condition that is more likely to heal. This article reviews the literature on tendon fenestration and describes the technical aspects of this procedure including postprocedural considerations. Although peer-reviewed literature on this topic is limited, studies to date have shown that ultrasound-guided tendon fenestration can improve patient symptoms. Several other percutaneous treatments for tendinopathy that include prolotherapy, autologous whole-blood injection, and autologous platelet-rich plasma injection are often performed in conjunction with fenestration. It is currently unknown if these other percutaneous procedures have any benefit over ultrasound-guided tendon fenestration alone.
慢性肌腱病或肌腱病变的一种潜在治疗方法是经皮超声引导下肌腱开窗术，也称为干针疗法或肌腱切断术。该手术包括多次将针轻柔地穿过异常肌腱，将慢性退行性过程转变为更易愈合的急性状态。本文回顾了关于肌腱开窗术的文献，并描述了该手术的技术细节，包括术后注意事项。尽管关于该主题的同行评审文献有限，但迄今为止的研究表明，超声引导下肌腱开窗术可改善患者症状。其他几种针对肌腱病变的经皮治疗方法，包括注射增生疗法、自体全血注射和自体富血小板血浆注射，通常与开窗术联合进行。目前尚不清楚这些其他经皮手术单独使用时是否比超声引导下肌腱开窗术更具优势。
