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| Value of ultrasound-guided modified needle-knife in the treatment of adhesive capsultis of shoulder with bursal effusion |
| XING Ruilin1 LIAN Longhu2 LIU Yanyan1 FENG Yan1 GAO Xiaoping1 |
1.Department of Ultrasound, Affiliated Hospital of Northwest Minzu University the Second People’s Hospital, Gansu Province, Lanzhou 730000, China;
2.General Medicine, Tongwei Hospital of Traditional Chinese Medicine, Gansu Province, Tongwei 743300, China |
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Abstract Objective To explore the value of ultrasound-guided modified needle-knife in the treatment of adhesive capsultis of shoulder (ACS) with bursal effusion. Methods A total of 112 patients with ACS were selected from the Second Provincial People’s Hospital, Gansu Province from February 2020 to February 2022. They were divided into the needle group and the control groups by random number table method, with 56 cases in each group. The needle group was treated with ultrasound-guided modified needle-knife therapy, while the control group was treated with traditional needle-knife therapy. Both group were treated once a week for two weeks. The clinical effect of the two groups was compared; visual analogue scale (VAS) scores, disabilities of the arm, shoulde, and hand (DASH) scores, and shear wave elastic velocity (SWV) were compared between the two groups before treatment (T1), treatment for two weeks (T2), two weeks after treatment (T3), four weeks after treatment (T4); follow-up for one year, the recurrence of the two groups was compared. Results The total effective rate of the needle group was higher than that of the control group (P＜0.05). Overall comparison: VAS score, DASH score, SWV among groups, time, and interaction were statistically significant between the two groups (P＜0.05). Intra-group comparison: at T2-T4, VAS score, DASH score, and SWV of the two groups were lower than those at T1 (P＜0.05). Comparison between groups: at T2-T4, VAS score, DASH score, and SWV in the needle group were lower than those in the control group (P＜0.05). The recurrence rate of the needle group was lower than that of the control group (P＜0.05). Conclusion Ultrasound-guided modified-knife has better efficacy and lower recurrence rate in the treatment of ACS, which can be applied in clinic.
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