Jacobson Jon A, Kim Sung Moon, Brigido Monica Kalume
Department of Radiology, University of Michigan, Ann Arbor, Michigan.
Semin Musculoskelet Radiol. 2016 Nov;20(5):414-421. doi: 10.1055/s-0036-1597545. Epub 2016 Dec 21.
Of the many treatment options for tendinopathy, percutaneous tenotomy has been used throughout the body with success. With this procedure, a needle is repeatedly passed into the abnormal tendon with the goal of converting a chronic degenerative process to an acute inflammatory condition that will progress to tendon healing. Ultrasound guidance for this procedure is essential to ensure that the abnormal region of the tendon is accurately targeted. The treatment has few contraindications, and negligible complications have been described. This article reviews the rationale behind tenotomy for the treatment of tendinopathy and the ultrasound-guided technique. The current literature comparing the results of tenotomy to other percutaneous tendon treatments is also reviewed, although many of the other tendon injection treatments incorporate tenotomy as part of the procedure.
在众多肌腱病的治疗选择中，经皮肌腱切断术已在全身成功应用。通过该手术，将针反复刺入异常肌腱，目的是将慢性退行性过程转变为急性炎症状态，进而促进肌腱愈合。此手术的超声引导对于确保准确靶向肌腱的异常区域至关重要。该治疗几乎没有禁忌证，且所描述的并发症可忽略不计。本文回顾了肌腱切断术治疗肌腱病的理论基础及超声引导技术。同时也回顾了将肌腱切断术与其他经皮肌腱治疗结果进行比较的当前文献，尽管许多其他肌腱注射治疗将肌腱切断术作为手术的一部分。
