体外聚焦状冲击波治疗下肢不同部位骨髓水肿综合征患者的疗效

doi:10.13481/j.1671-587x.20160633

Abstract

Abstract:

Objective: To observe the curative effect of extracorporeal shock wave therapy in the treatment of the patients with bone marrow edema syndrome(BMES) at different positions of lower limbs,and to provide a new and effective method for treatment of BMES.Methods: A total of 39 patients with BMES at different positions of lower limbs were selected. All the patients were treated with extracorporeal focused shock wave by HK-ESWO-AJⅡ apparatus at surface projection of BMES. The voltage was 7-10 kV. The frequency was 60 min^-1. The intensity was 0.18-0.25 mJ·mm^-2. Every treatment point was treated with 1 000 times, once per 5 d for 4 courses. All the patients were told to reduce weight-bearing during the therapy. The visual analogue score(VAS) was used to detect the pain status of the patients;the joint function score was used to detect the joint funtion of lower limbs of the patients;the function independent measure(FIM) index was used to evaluate the ability to live independently of the patients.Results: Compared with before treatment, the VAS score of patients was decreased(P<0.05) and the joint function score and FIM index were increased after treatment(P<0.05). A total of 2 patients were found BMES recurrence during 12-24 months follow-up; one patients occurred at femur head and neck and another patient occurred at distal femur. Both of them were recovery after 4 times of shock wave therapy.There was no patient suffered from osteonecrosis. Conclusion: Extracorporeal focused shock wave therapy could improve the pain symptom and bone marrow edema signs of the BMES patients. Although BMES of lower limbs has recurrence tendency, there is no obvious trend of osteonecrosis and other diseases.

Key words: extracorporeal focused shock wave, bone marrow edema syndrome, function independent measure, osteonecrosis, visual analogue score, joint function

CLC Number:

R747.5

MA Libo, LI Jianfeng, YAN Jinyu, ZHANG Shulian, ZHAO Jun, XIA Runfu, ZHANG Xu, LI Dongsheng. Curative effect of extracorporeal focused shock wave therapy in treatment of patients with bone marrow edema syndrome of lower limbs[J].Journal of Jilin University Medicine Edition, 2016, 42(06): 1215-1219.

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Curative effect of extracorporeal focused shock wave therapy in treatment of patients with bone marrow edema syndrome of lower limbs

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