Sistermann R, Katthagen B D
Orthopädische Klinik, Städtische Kliniken Dortmund, Klinikzentrum Mitte.
Z Orthop Ihre Grenzgeb. 1998 Sep-Oct;136(5):402-6. doi: 10.1055/s-2008-1053675.
Effectivity and application as well as possible complications and side effects of extracorporeal shock wave lithotripsy of plantar heel spurs should be evaluated.
We applied extracorporeal shock wave lithotripsy (ECSL) to treat plantar fasciitis in 54 patients (period from: 3/1/1993 to 3/1/1996). 20 persons were treated with Lithostar plus (group 1) and ultrasound focussing and 34 patients (group 2) were treated by a Lithostar and X-ray focussing.
After 6 weeks 14 (70%) of group 1 and 27 (79.4%) of group 2 were free of pain. After 36.9 months 8 (40%) of group 1 and 23 (67.6%) of group 2 were still painfree. We could not recognize any severe complications after 36.9 months.
ECSL is an effective and noninvasive method of treatment. It is not the method of choice for the first treatment of plantar fasciitis but is an alternative option for operation.
应评估体外冲击波碎石术治疗足底跟骨骨刺的有效性、应用情况以及可能出现的并发症和副作用。
我们应用体外冲击波碎石术（ECSL）治疗54例足底筋膜炎患者（时间段为：1993年1月3日至1996年1月3日）。20人接受Lithostar plus治疗（第1组）并采用超声聚焦，34例患者（第2组）接受Lithostar和X射线聚焦治疗。
6周后，第1组14例（70%）和第2组27例（79.4%）无疼痛。36.9个月后，第1组8例（40%）和第2组23例（67.6%）仍无疼痛。36.9个月后我们未发现任何严重并发症。
体外冲击波碎石术是一种有效且无创的治疗方法。它不是足底筋膜炎首次治疗的首选方法，但却是手术的一种替代选择。
