Northwest Minzu University, No.1 Xibei New Village, Chengguan District, Lanzhou City, Gansu Province 730030, China.
Gansu University of Traditional Chinese Medicine, Lanzhou, Gansu 730000, China.
J Healthc Eng. 2022 Feb 16;2022:1076112. doi: 10.1155/2022/1076112. eCollection 2022.
To compare the outcomes of visualized puncture needle and small needle-knife therapy in 68 patients with primary frozen shoulder.
Sixty-eight patients with primary frozen shoulder were recruited and randomly divided into two groups, with 34 patients in each group. In the treatment group, an ultrasound-guided 18G-PTC puncture needle was inserted into the joint space, followed by a liquid injection until complete lysis and dissociation of the intraarticular adhesion were achieved. Then, the lesser tuberosity of the coracoid and humerus, the intertubercular groove of the humerus, and the greater tuberosity of the humerus were stripped, first vertically and then horizontally, by an amplitude ≦ 0.5 cm per treatment. This treatment procedure was performed once per week, and each cycle covered three treatments. The small needle-knife therapy was set as a control, and the efficacy was observed.
The visualized puncture needle significantly outperformed the small needle-knife therapy in overall efficacy, UCLA scores of the shoulder joint, shoulder mobility, and muscle elasticity and thickness.
The efficacy of the visualized puncture needle for primary frozen shoulder was better compared to the small needle-knife therapy. The former was safer and more convenient, which caused less pain to patients and took effect more quickly. In a word, the visualized puncture needle for primary frozen shoulder is worthy of clinical popularization.
比较可视化穿刺针与小针刀治疗原发性冻结肩 68 例的疗效。
选择原发性冻结肩患者 68 例，随机分为两组，每组 34 例。治疗组采用超声引导下 18G-PTC 穿刺针穿刺关节腔，注入液体，直至关节内粘连完全溶解分离，然后用小针刀从喙突与肱骨小结节、肱骨结节间沟、肱骨大结节处进行垂直、水平方向剥离，每个部位剥离幅度≦0.5cm，每周治疗 1 次，每个周期治疗 3 次。小针刀治疗作为对照组，观察疗效。
可视化穿刺针在总有效率、肩关节 UCLA 评分、肩关节活动度、肌肉弹性和厚度方面明显优于小针刀治疗。
与小针刀治疗相比，可视化穿刺针治疗原发性冻结肩的疗效更好。前者更安全、更方便，患者疼痛更小，起效更快。总之，可视化穿刺针治疗原发性冻结肩值得临床推广。
