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目的:观察体外冲击波治疗运动员股骨大转子滑囊炎的临床效果。方法:股骨大转子滑囊炎运动员患者60例,随机分为治疗组和对照组各30例。治疗组采用体外冲击波,对臀大肌肌腱与股骨大转子后外侧之间的肿胀、压痛点及髂胫束膝部止点上方压痛点进行治疗。对照组采用股骨大转子滑囊内局部封闭方法进行治疗。分别于治疗前和治疗后1周、5周和2个月对比两组患者的VAS评分、髋关节症状评分,对比治疗2个月后的临床疗效及半年后的复发情况。结果:治疗组有效率96.67%,优于对照组(90.00%);治疗后1周对照组VAS疼痛评分、髋关节症状评分优于治疗组,治疗后5周两组效果无明显差异,治疗后2个月治疗组优于对照组(P<0.05),差异有统计学意义。治疗组复发率明显低于对照组(P<0.05)。结论:体外冲击波治疗运动员股骨大转子滑囊炎疼痛、症状体征改善优于局部封闭,复发率低。
Objective: To observe the clinical effect of extracorporeal shock wave therapy on athlete’s femoral trochanter bursitis. Methods: 60 patients with femoral trochanter bursitis athletes were randomly divided into treatment group and control group, 30 cases each. In the treatment group, an extracorporeal shock wave was used to treat the swelling and tenderness between the gluteus maximus tendon and the posterior lateral to the greater trochanter of the femur, and the tender point above the knee of the iliotibial band. The control group was treated with partial closure of the greater trochanter bursa in the femur. The VAS scores, hip symptom score, clinical efficacy and recurrence after six months were compared between the two groups before treatment and at 1 week, 5 weeks and 2 months after treatment. Results: The effective rate of the treatment group was 96.67%, which was better than that of the control group (90.00%). VAS pain score and hip symptom score of the control group were better than that of the treatment group 1 week after the treatment. There was no significant difference between the two groups after 5 weeks of treatment. 2 months treatment group than the control group (P <0.05), the difference was statistically significant. The recurrence rate of the treatment group was significantly lower than that of the control group (P <0.05). Conclusion: Extracorporeal shockwave treatment of athletes with femoral trochanter bursitis pain, symptoms and signs better than local closure, the recurrence rate is low.