Comfort T H, Arafiles R P
Clin Orthop Relat Res. 1978 Sep(135):171-8.
In 9 patients with symptomatic calcific deposits in the rotator cuff, followed for an average of 9 years, good to excellent results were obtained by barbotage (needle irrigation and aspiration). The deposit was localized with a needle using an image intensifier. Postbarbotage X-rays show residual deposits, but films taken on follow-up show complete disappearance of the lesion except in one instance where a small density was seen. One patient had early recurrence of symptoms out of the 3 who had postbarbotage cortisone injection. Barbotage is simple, effective, with virtually no complications. Failures of the method were apparently due to difficulty in locating the deposit with the needle. Barbotage is most indicated in the acute phase of the disease but may be used in cases with chronic symptoms to remove dry granular deposits. It is not essential, however, to completely remove the deposits because the resorption process continues. Local cortisone injection either as a primary procedure of after barbotage is not recommended because it aborts the natural course of the disease and promotes recurrences.
对9例有症状的肩袖钙化沉积患者平均随访9年，通过灌洗术（针吸冲洗）取得了良好至极佳的效果。使用影像增强器用针定位沉积物。灌洗术后的X线片显示有残余沉积物，但随访时拍摄的片子显示，除1例可见小密度影外，病变完全消失。3例灌洗术后接受可的松注射的患者中，有1例症状早期复发。灌洗术操作简单、有效，几乎无并发症。该方法失败显然是由于用针定位沉积物困难。灌洗术最适用于疾病急性期，但也可用于有慢性症状的病例以清除干燥颗粒状沉积物。然而，不必完全清除沉积物，因为吸收过程会持续。不建议将局部可的松注射作为初始治疗或灌洗术后的治疗，因为这会中断疾病的自然进程并促进复发。
