| 何健东▲,李明俊,梁笃.体外冲击波疗法治疗股骨髋臼撞击综合征的临床疗效观察[J].实用中西医结合临床,2016,16(5): |
| 体外冲击波疗法治疗股骨髋臼撞击综合征的临床疗效观察 |
| Effectiveness of extracorporeal shock wave in treatment of femoroacetabular impingement |
| 投稿时间：2016-04-02 修订日期：2016-04-19 |
| DOI： |
| 中文关键词: 体外冲击波疗法 股骨髋臼撞击综合征 塞来昔布 疗效 |
| 英文关键词: extracorporeal shock wave therapy femoroacetabular impingement celecoxib effectiveness |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨体外冲击波疗法治疗股骨髋臼撞击综合征的临床疗效。方法 2013年5月～2015年8月我院采用保守治疗44例FAI患者,其中23例采用体外冲击波疗法(观察组),21例口服塞来昔布胶囊(对照组)。两组患者性别、年龄、侧别、病程及治疗前VAS评分、HHS评分及髋关节活动度比较,差异均无统计学意义(P＞0.05)。对两组治疗前后VAS评分、HHS平均和髋关节活动度进行统计学比较。结果 所有患者均获得随访,其中观察组随访时间为12～16周,平均13.96±1.58周；对照组随访时间为12～15周,平均13.29±1.15周；末次随访时,两组VAS评分和HSS评分显著优于治疗前,比较差异有统计学意义(P＜0.05)；两组间VAS评分比较,差异有统计学意义(P＜0.05)；但两组间HHS评分比较,差异无统计学意义(P＞0.05)。末次随访时,两组髋关节活动度与治疗前比较无明显改善,差异均无统计学意义(P＞0.05)；两组间比较差异无统计学意义(P＞0.05)。结论 体外冲击波疗法治疗FAI能够缓解髋关节疼痛,改善髋关节功能,但无法提高髋关节活动度,在缓解疼痛方面不如口服塞来昔布胶囊明显。 |
| 英文摘要: |
| Objective To explore the effect of the extracorporeal shock wave therapy in the treatment of femoroacetabular impingement. Methods Forty-four patients with FAI use conservative treatment were included from May 2013 to August 2015, twenty-three cases were divided into control group which use ESWT (observation group), and twenty-one cases were divided into experimental group which use celecoxib (control group). There’s no differences between the two groups in gender, age, side, process of disease, VAS Score, HHS Score and ROM of hip (P＞0.05). Measure andScompare the two groups with VAS Score, HHS Score and ROM of hip pre and post treatment. Results AllStheSpatientsSwereSfollowedSup, the mean follow-up time of the observation group was 13.96±1.58 months (range, 12-16 months), and the control group was 13.29±1.15 months (range, 12-15 months). At last follow-up, the VAS score, HHS score were superior significantly to those before therapy, and significant difference was found in both groups (P＜0.05). There was significant difference in the VAS score between 2 groups (P＜0.05), but no significant difference was found in HHS score (P＞0.05). At the finial follow-up, the range of motion (ROM) of hip joints was not remarkably improved to those before therapy, and no significant difference was found in both groups (P＜0.05). there was no significant difference in the ROM of hip joints between 2 groups (P＞0.05). Conclusion Extracorporeal shock wave therapy in the treatment of femoroacetabular impingement can relief pain and improve the hip joint function, but which cannot improve the ROM of hip joint. Especially in relieving pain, the extracorporeal shock wave therapy was superior significantly to celecoxib. |
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