Haupt G
Department of Urology, Ruhr-University Bochum, Germany.
J Urol. 1997 Jul;158(1):4-11. doi: 10.1097/00005392-199707000-00003.
The use of shock waves in orthopedic diseases was reviewed with special regard to the clinical applications.
Findings in the literature and results from our own studies were analyzed and summarized.
Extracorporeal shock waves induced osteoneogenesis in animal models with intact and fractured bones. Based on these findings shock waves were used for the treatment of pseudarthrosis in humans. Most patients had at least 1 unsuccessful operation before shock wave therapy. Complete reunion was noted in 62 to 91% of cases and shock waves are recommended by some as the first choice of treatment for hypertrophic pseudarthrosis. After failed nonoperative therapy shock waves were used for the treatment of patients with various diseases as secondary treatment. The success rate for treatment of tendinopathies, such as tennis elbow, periarthritis humeroscapularis or calcaneal spur, was approximately 80%. For calcific tendinitis shock wave therapy seems to be superior to all other minimal or noninvasive techniques without compromising a potential later operation.
Shock waves have changed medical therapy substantially. Accounting for the epidemiology of the treated diseases, this new change may equal or even surpass the impact of extracorporeal shock wave lithotripsy.
回顾冲击波在骨科疾病中的应用，特别关注其临床应用。
分析和总结文献中的研究结果以及我们自己的研究成果。
体外冲击波在完整和骨折的动物模型中均可诱导骨生成。基于这些发现，冲击波被用于治疗人类的假关节。大多数患者在接受冲击波治疗前至少有一次手术失败。62%至91%的病例实现了完全愈合，一些人推荐冲击波作为肥厚性假关节的首选治疗方法。在非手术治疗失败后，冲击波被用作各种疾病患者的二线治疗。治疗网球肘、肩周炎或跟骨骨刺等肌腱病的成功率约为80%。对于钙化性肌腱炎，冲击波治疗似乎优于所有其他微创或无创技术，且不影响后续可能的手术。
冲击波已极大地改变了医学治疗方式。考虑到所治疗疾病的流行病学情况，这一新变化可能等同于甚至超过体外冲击波碎石术的影响。
