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用超声波引导的宫神经根块进行增强的操纵技术,以改善肩部在冷肩部的外部旋转:一项回顾性研究
Kieun Park1, Masashi Matsuzaki2, Futoshi Ikuta3
1PAKU Pain Clinic, Gitex Ascent Building 5F, 6-1-20 Miyuki-dori, Chuo-ku, Kobe, Hyogo, 651-0087, Japan.
Journal of medical ultrasonics (2001)
|January 23, 2026
概括
这项研究通过修改操纵技术来增强冷肩部的治疗效果,显著改善了肩部的外部旋转. 修订后的方法为患有这种疾病的患者提供了更好的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 肌肉骨医学 肌肉骨医学
- 疼痛管理 疼痛管理
背景情况:
- 结的肩膀 (粘着性囊炎) 显著限制了肩膀的运动范围,特别是外部旋转.
- 以前的超声波导向部神经根块操纵技术显示出出色的结果.
- 试图进一步改善外部旋转范围以优化患者的治疗结果.
研究的目的:
- 为了评估冷肩膀的修改操作技术.
- 评估修订后的方法在进一步改善肩部外侧旋转方面的有效性.
- 将结果与之前报告的操纵技术进行比较.
主要方法:
- 173个肩部 (169名患者) 经历冷肩部操纵 (2024年1月至6月) 的回顾性审查.
- 修改包括:改变了关节内膜关节注射,将C7纳入神经阻塞,并修改了手动操纵.
- 肩部运动范围 (ROM) 在手术前和手术后1周,1,2个月和3个月测量.
主要成果:
- 平均外部旋转从操作前的11.5°提高到1周后的56.2°和3个月后的58.0° (p < 0.001).
- 实现的外部旋转范围明显优于上一篇报告.
- 与之前的研究相比,曲或绑架ROM没有显著差异.
结论:
- 修订后的操纵技术显著提高了冷肩患者的外部旋转.
- 这种修改后的方法代表了冷肩膀治疗的进步,特别是改善外部旋转.
- 进一步的研究可能会探索长期结果和更广泛的适用性.
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