| 摘要: |
| 目的：探讨肱二头肌长头肌腱腱鞘积液对超声引导下关节腔注射治疗冻结肩疗效的影响。
方法：81例临床诊断为冻结肩的患者，根据有无肱二头肌长头肌腱腱鞘积液分为A组（合并腱鞘积液）、B组（无腱鞘积液），所有患者行超声引导下关节腔注射治疗，并在治疗前及治疗后2周行高频超声检查获得腋下关节囊（axillary recess capsule , ARC）厚度，同时行Constant-Murley肩关节功能评分。
结果：两组患者治疗后与治疗前相比，ARC厚度均明显减少，Constant-Murley评分均明显增高（P<0.05）；A组与B组治疗后比较，A组Constant-Murley评分明显低于B组，A组ARC厚度明显高于B组（P<0.05）。
结论：肱二头肌长头肌腱腱鞘积液能够影响冻结肩超声引导下关节腔注射治疗疗效。ARC厚度能够作为冻结肩超声引导下肩关节腔注射治疗效果评价的参考指标。 |
| 关键词: 冻结肩 腱鞘积液 腋下关节囊 关节腔注射 |
| DOI： |
| 投稿时间：2020-03-19修订日期：2020-04-23 |
| 基金项目: |
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| Influence of Biceps LongusTendon Sheath Effusion on the Treatment of Ultrasound-guided Intra-articular Injections for Frozen Shoulder |
| WeiZongkai,HuYu,PengXiaojing,HangJing,YeXinhua,LiAo |
| (Department of Ultrasound,the First Affiliated Hospital,NanJing Medical University) |
| Abstract: |
| Objective To explore the influence of biceps longus tendon sheath effusion on the treatment of ultrasound-guided intra-articular injections in patient with frozen shoulder. Methods 81 patients with clinically diagnosed frozen shoulders were divided into group A (with tendon sheath effusion of biceps brachii longus) and group B (without tendon sheath effusion of biceps brachii longus). All patients underwent ultrasound-guided intra-articular injections, and ultrasound examinations were performed to measure axillary recess capsule (ARC) thickness before and 2 weeks after the injection, and Constant-Murley shoulder score were evaluated. Results The ARC thickness was significantly reduced and the Constant-Murley scores were significantly increased in both groups after treatment (P <0.05). Compared with group B after the treatment, the Constant-Murley score of group A was significantly lower than that of group B, and the ARC thickness of group A was significantly higher than that of group B (P <0.05). Conclusion Tendon sheath effusion of biceps brachii longus can affect the efficacy of ultrasound-guided intra-articular injections for frozen shoulder. ARC thickness can be used as a reference index for evaluation of ultrasound-guided intra-articular injections for frozen shoulder. |
| Key words: Frozen shoulder Tendon sheath effusion Axillary recess capsule Intra-articular injection |
