富血小板血浆与体外冲击波治疗慢性跟腱附着点病的疗效比较

[Comparison of efficacy of platelet-rich plasma and extracorporeal shock wave for the treatment of chronic insertional Achilles tendinopathy].

作者信息

Bai Wen-Bo, Liang Xiao-Jun, Zhao Hong-Mou, Wang Xin-Wen, Liu Liang, Liang Jing-Qi, Shi Chao, Lu Jun

机构信息

Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi, China; Foot and Ankle Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an 710054, Shaanxi, China.

Foot and Ankle Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an 710054, Shaanxi, China.

出版信息

Zhongguo Gu Shang. 2023 Apr 25;36(4):351-6. doi: 10.12200/j.issn.1003-0034.2023.04.011.

DOI:10.12200/j.issn.1003-0034.2023.04.011

PMID:37087625

Abstract

OBJECTIVE

To compare clinical efficacy of platelet-rich plasma (PRP) and extracorporeal shock wave in treating chronic insertional Achilles tendinopathy.

METHODS

From February 2019 to August 2021, 42 patients with chronic insertional Achilles tendinopathy were selected and divided into PRP group(20 patients, 28 feet) and shock wave group (22 patients, 29 feet). In PRP group, there were 12 males and 8 females, aged 47.00(28.00, 50.75) years old, and the courses of disease ranged 7.00(6.00, 7.00) months;PRP injection was performed in the Achilles tendon stop area of the affected side. In shock wave group, there were 16 males and 6 females, aged 42.00(35.75, 47.25) years old;and the courses of disease was 7.00(6.00, 8.00) months;shock wave was performed in Achilles tendon stop area of the affected side and triceps surae area. Visual analogue scale (VAS) and Victorian Institute of Sport Assessment-Achilles (VISA-A) were applied to evaluate clnical effect before treatment, 1, 3 and 6 months after treatment, and satisfaction of patients was investigated.

RESULTS

VAS and VISA-A score in both groups were significantly improved at 1, 3 and 6 months after treatment than before treatment (<0.05), VAS and VISA-A score in PRP group at 6 months after treatment were significantly higher than those at 1 and 3 months after treatment, and VAS and VISA-A score in shock wave group were lower than those at 1 and 3 months after treatment (<0.05). There was no significant difference in VAS and VISA-A score between two groups before treatment, 1 and 3 months after treatment(>0.05), while VAS and VISA-A score in PRP group were better than those in shock wave group at 6 months after treatment(<0.05), and the satisfaction survey in PRP group was better than that in shock wave group(<0.05).

CONCLUSION

PRP injection has a good clinical effect on chronic insertional Achilles tendinopathy with high patient satisfaction, and medium-and long-term effect of PRP injection for the treatment of chronic insertional Achilles tendinopathy is better than that of extracorporeal divergent shock wave.

摘要

目的

比较富血小板血浆（PRP）与体外冲击波治疗慢性跟腱止点性肌腱病的临床疗效。

方法

选取2019年2月至2021年8月收治的42例慢性跟腱止点性肌腱病患者，分为PRP组（20例，28足）和冲击波组（22例，29足）。PRP组男12例，女8例，年龄47.00（28.00，50.75）岁，病程7.00（6.00，7.00）个月；于患侧跟腱止点处行PRP注射。冲击波组男16例，女6例，年龄42.00（35.75，47.25）岁，病程7.00（6.00，8.00）个月；于患侧跟腱止点处及小腿三头肌区行冲击波治疗。采用视觉模拟评分法（VAS）和维多利亚运动评估跟腱量表（VISA - A）在治疗前、治疗后1、3、6个月评估临床疗效，并调查患者满意度。

结果

两组治疗后1、3、6个月VAS及VISA - A评分均较治疗前显著改善（P<0.05），PRP组治疗后6个月VAS及VISA - A评分显著高于治疗后1、3个月，冲击波组治疗后6个月VAS及VISA - A评分低于治疗后1、3个月（P<0.05）。两组治疗前、治疗后1、3个月VAS及VISA - A评分比较差异无统计学意义（P>0.05），而PRP组治疗后6个月VAS及VISA - A评分优于冲击波组（P<0.05），PRP组满意度调查结果优于冲击波组（P<0.05）。