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超声引导下穿刺抽吸治疗肩袖钙化性肌腱炎

Treatment of calcific tendinopathy of the rotator cuff with ultrasound-guided puncture and aspiration.

作者信息

Sánchez Lite I, Toribio Calvo B, Osorio Aira S, Romera de Blas C, Andrés García N

机构信息

Servicio de Radiodiagnóstico. Hospital Clínico Universitario de Valladolid, Valladolid, España.

Servicio de Radiodiagnóstico. Hospital Clínico Universitario de Valladolid, Valladolid, España.

出版信息

Radiologia (Engl Ed). 2021 Aug 26. doi: 10.1016/j.rx.2021.07.005.

Abstract

OBJECTIVE

Calcific tendinopathy of the rotator cuff is a common condition caused by the deposition of calcium crystals in the tendons of the rotator cuff. This study aimed to analyze the effectiveness of ultrasound-guided puncture and aspiration in calcific tendinopathy of the should in 86 patients treated at our center and to determine the factors associated with poor prognosis after this treatment.

MATERIAL AND METHODS

This retrospective descriptive study included 86 patients with calcific tendinopathy of the rotator cuff treated with ultrasound-guided puncture and aspiration between 2015 and 2019 for whom clinical and radiological variables were collected 1, 3, 6, and 12 months after the procedure.

RESULTS

One year after treatment, 81.4% patients showed clinical improvement and 96.5% showed radiological improvement. Complications were observed in 34.9%; all complications were mild.

CONCLUSIONS

Ultrasound-guided puncture and aspiration is an effective treatment for calcific tendinopathy of the shoulder, resulting in a high rate of clinical and radiological improvement and a low rate of minor complications. This technique has additional advantages, such as interaction with the patient and the lack of ionizing radiation.

摘要

目的

肩袖钙化性肌腱病是一种由钙晶体沉积在肩袖肌腱中引起的常见病症。本研究旨在分析超声引导下穿刺抽吸术对我院中心治疗的86例肩部钙化性肌腱病患者的有效性,并确定该治疗后预后不良的相关因素。

材料与方法

这项回顾性描述性研究纳入了86例在2015年至2019年间接受超声引导下穿刺抽吸术治疗的肩袖钙化性肌腱病患者,在术后1、3、6和12个月收集了他们的临床和放射学变量。

结果

治疗一年后,81.4%的患者临床症状改善,96.5%的患者放射学表现改善。观察到34.9%的患者出现并发症;所有并发症均为轻度。

结论

超声引导下穿刺抽吸术是治疗肩部钙化性肌腱病的有效方法,临床和放射学改善率高,轻微并发症发生率低。该技术还有其他优点,如可与患者互动且无电离辐射。

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