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目的:观察发散式体外冲击波(radial extracorporeal shock wave,RESW)治疗钙化性冈上肌腱炎的效果。方法回顾性分析本院2012年1月至2014年10月经RESW治疗的40例钙化性冈上肌腱炎患者的临床资料,患者肩部痛点及病灶区行RSWT治疗3个疗程,每疗程治疗4次,所有患者随访6个月,观察治疗前后视觉模拟评分法(VAS)评分、Constant-Murley肩关节功能评分,分析X线片变化情况。结果所有患者症状均得以缓解,VAS评分、Constant-Murley肩关节功能评分均较治疗前改善(P<0.05)。通过X线片对比,15例患者治疗后6个月钙化斑块完全消失,25例患者治疗后6个月仍有部分钙化斑块存在,但疼痛及功能障碍等临床症状均较治疗前改善。结论 RESW是一种可供选择的安全有效的治疗钙化性冈上肌腱炎的方法。“,”ObjectiveTo evaluate the effect of radial extracorporeal shock wave (RESW) in the treatment of calciifc supraspinatus tendinitis.MethodRetrospective analyzed the clinical data of 40 cases of calciifed supraspinatus tendinitis patients treated by RESW treatment in our hospital from January 2012 to October 2014, patients with shoulder pain points and lesion area lined RSWT 3 courses of treatment, 4 times per course of treatment. All patients were followed up for 6 months, visual analogue scale (VAS) and Constant-Murley score were observed before and after treatment, and the changes of X-ray iflm were analyzed.ResultThe shoulder function were improved and the symptoms were disappeared or partially disappeared after therapy. The Constant-Murley scores, VAS scores were signiifcantly improved (P<0.05). The calciifed plaque of 15 patients disappear entirely 6 months after treatment, 25 patients exists in some calciifed plaque 6 months after treatment, but its clinical symptoms and functional improvement than before treatment.ConclusionRESW therapy is a safe and effective treatment modality for patients with calciifc supraspinatus tendinitis.