%0 Journal Article
%T 富血小板血浆注射治疗肩袖部分全层撕裂的疗效观察<br>Observation on the Curative Effect of Injection of Platelet-Rich Plasma in the Treatment of Focal Full-Thickness Rotator Cuff Tear
%A 张美荣
%A 左安凯
%A 付婷
%A 鲁小龙
%A 郑雅文
%A 王琳
%J Advances in Clinical Medicine
%P 496-501
%@ 2161-8720
%D 2024
%I Hans Publishing
%R 10.12677/acm.2024.14123109
%X 目的&#65306;观察富血小板血浆注射对肩袖部分全层撕裂的治疗疗效。方法&#65306;选取2023年1月至2024年5月在青岛大学附属医院就诊的肩袖部分全层撕裂患者27名&#65292;在超声引导下向撕裂部位及周边注射PRP 5 ml。于治疗前、治疗后4周、8周、12周记录患者的视觉模拟评分(VAS)、肩关节Constant-Murley评分(CMS)&#65307;在随访期间观察并记录患者的不良反应。结果&#65306;治疗后4周、8周、12周的VAS评分均较治疗前显著降低(<i>P</i> &lt; 0.05)&#65292;且治疗后8周、12周的VAS评分均较前一时间点显著降低(<i>P</i> &lt; 0.05)&#65307;治疗后4周、8周、12周的CMS评分均较治疗前显著升高(<i>P</i> &lt; 0.05)&#65292;且治疗后8周、12周的CMS评分均较前一时间点显著升高(<i>P</i> &lt; 0.05)&#65307;除注射后疼痛外&#65292;未出现其他不良反应。结论&#65306;富血小板血浆注射治疗肩袖部分全层撕裂可缓解患者的肩关节疼痛&#65292;改善功能障碍&#65292;疗效显著&#65292;且不良反应小&#65292;具有临床应用价值。<br>Objective: To observe the efficacy of platelet-rich plasma (PRP) injection in the treatment of focal full-thickness rotator cuff tear. Methods: 27 patients with focal full-thickness rotator cuff tear who were treated in the Affiliated Hospital of Qingdao University from January 2023 to May 2024 were selected. Under the guidance of ultrasound, 5 ml of PRP was injected into the tear site and its surrounding areas. The Visual Analogue Scale (VAS), Constant-Murley Score (CMS) and adverse reactions of the patients were recorded before treatment, and 4 weeks, 8 weeks and 12 weeks after treatment. Results: The VAS scores at 4 weeks, 8 weeks and 12 weeks after treatment were all significantly lower than those before treatment (<i>P</i> &lt; 0.05), and the VAS scores at 8 weeks and 12 weeks after treatment were also significantly lower than those at the previous time points (<i>P</i> &lt; 0.05). The CMS scores at 4 weeks, 8 weeks and 12 weeks after treatment were all significantly higher than those before treatment (<i>P</i> &lt; 0.05), and the CMS scores at 8 weeks and 12 weeks after treatment were also significantly higher than those at the previous time points (<i>P</i> &lt; 0.05). Except for pain after injection, no other adverse reactions occurred. Conclusion: Platelet-rich plasma injection in the treatment of focal full-thickness rotator cuff tear can relieve the shoulder joint pain of patients, improve dysfunction, and has few adverse reactions, thus possessing clinical application value.
%K 富血小板血浆&#65292
%K 肩袖部分全层撕裂&#65292
%K 注射治疗<br>Platelet-Rich Plasma
%K Focal Full-Thickness Rotator Cuff Tear
%K Injection Treatment
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=102679