体外冲击波治疗肌肉骨骼系统疾病的研究进展
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摘要
长期以来,人们对冲击波(shock wave)的研究主要来自于物理方面的应用,如超音速飞行的战机、核爆炸等。最近30多年,冲击波才开始出现在医疗领域,并且成功的在医疗领域里应用开来。最近几年,在对肌肉骨骼系统疾病的治疗方面,冲击波治疗逐渐得到推广,并且已经有许多关于此方面的临床研究,例如在膝骨关节炎疾病、肩关节疾病、肘关节疾病、骨折延迟愈合或不愈合、股骨头坏死以及其他肌肉骨骼疾病等方面,取得了很多令人惊喜的疗效。本文旨在综述体外冲击波在肌肉骨骼系统疾病治疗方面的相关研究进展。
For a long time, the research on shock wave mainly came from the physical applications such as supersonic air plane and nuclear explosions. In the last 30 years, the technology of shockwave began to appear and successfully applied in the medical field. In recent years, the roles of shockwaves in the treatment of musculoskeletal diseases also begin to be popularized.Many clinical studies have been made on this aspect, such as treatment of knee osteoarthritis, shoulder disease, elbow disease,delayed union or nonunion of the fracture, necrosis of the femoral head, and other musculoskeletal disorders, which received many surprising therapeutic feedbacks. This article aims to review research progress in extracorporeal shock wave for treatment of musculoskeletal diseases.
For a long time, the research on shock wave mainly came from the physical applications such as supersonic air plane and nuclear explosions. In the last 30 years, the technology of shockwave began to appear and successfully applied in the medical field. In recent years, the roles of shockwaves in the treatment of musculoskeletal diseases also begin to be popularized.Many clinical studies have been made on this aspect, such as treatment of knee osteoarthritis, shoulder disease, elbow disease,delayed union or nonunion of the fracture, necrosis of the femoral head, and other musculoskeletal disorders, which received many surprising therapeutic feedbacks. This article aims to review research progress in extracorporeal shock wave for treatment of musculoskeletal diseases.
引文
[1]Floerkemeier S,Staubli AE,Schroeter S,et al.Outcome after high tibial open-wedge osteotomy a retrospective evaluation of 533 patients[J].Knee Surg Sports Traumatol Arthrosc,2013,21(1):170-80.
[2]喻晶晶,石晓兵.膝骨关节炎的诊疗及其进展[J].骨科,2012,3(1):55-56.
[3]谢进,韩晋,王伊文,等.膝关节骨性关节炎药物治疗[J].中国医药指南,2010,8(10):38-40.
[4]Singh G,Fort JG,Goldstein JL,et al.Celecoxib versus naproxen and diclofenac in osteoarthritis patients:SUCCESS-I Study[J].Am J Med,2006,119(3):255-266.
[5]Krzeski P,Buckland-Wright C,BálintG,et al.Development of musculoskeletal toxicity without clear benefit after administration of PG-116800,a matrix metalloproteinase inhibitor,to patients with knee osteoarthritis:a randomized,12-month,double-blind,placebo-controlled study[J].Arthritis Res Ther,2007,9(5):R109.
[6]刘彧,吴坤,刘水涛,等.体外冲击波治疗中老年女性膝关节炎的疗效观察[J].武警医学,2016,27(4):349-352.
[7]张仕年,王萧峰,章东.骨关节炎体外冲击波治疗的能量分布研究[J].生物医学工程学杂志,2015,23(2):300-304.
[8]刘搏宇,李宏宇,金先跃,等.体外冲击波对早中期膝关节骨性关节炎患者关节液中IL-1β、TNF-α及MMP-13表达的影响[J].中国矫形外科杂志,2016,24(19):1807-1810.
[9]黄接云,张建中,刘志华,等.放散式冲击波治疗粘连性肩关节囊炎的临床疗效研究[J].中国疼痛医学杂志,2017,23(6)434-437.
[10]潘昭勋,张洪鑫,孙超,等.放散式体外冲击波治疗钙化性冈上肌肌腱炎的临床疗效[J].中国运动医学杂志,2016,35(3)282-284+303.
[11]陈阿浮,连松勇,陈千红,等.冲击波结合运动康复治疗肩峰下撞击综合征的临床疗效[J].中国妇幼健康研究,2017,28(2)410-411.
[12]何栩,罗小兵,李少柏,等.冲击波联合肩关节功能训练治疗冈上肌肌腱炎的临床研究[J].中华肩肘外科电子杂志,2017,5(1):9-14.
[13]徐远红,杨凤翔,王刚,等.温针灸与体外冲击波治疗肩周炎疗效比较[J].中国中医急症,2010,19(10):1688-1689.
[14]徐远红,王俊华,罗秀玲,等.体外冲击波治疗顽固性网球肘24例[J].河南中医,2016,36(7):1266-1268.
[15]张隆浩,黄广林,满立波.放散状与聚焦状冲击波治疗肱骨外上髁炎的疗效比较[J].中国康复医学杂志,2013,28(2):151-153.
[16]张盘德,彭小文,容小川,等.体外冲击波治疗网球肘的镇痛效果研究[J].中国康复医学杂志,2013,28(1):32-35.
[17]刘彧,吴坤,刘水涛,等.发散式体外冲击波治疗桡骨茎突狭窄性腱鞘炎的疗效观察[J/CD].中国医学前沿杂志(电子版)2015,7(11):18-20.
[18]娄靖,刘水涛,史展,等.发散式体外冲击波疗法与外用酮洛芬凝胶治疗肱骨外上髁炎的对比研究[J/CD].中国医学前沿杂志(电子版),2017,9(2):7-11.
[19]Einhorn TA.Enhancement of fracture-healing[J].J Bone Joint Surg Am,1995,77(6):940-56.
[20]Friedlaender GE,Perry CR,Cole JD,et al.Osteogenic protein-1(bone morphogenetic protein-7)in the treatment of tibial nonunions[J].J Bone Joint Surg Am,2001,83-A:151-158.
[21]Wiss DA,Stetson WB.Nonunion of the tibia treated with a reamed intramedullary nail[J].J Orthop Trauma,1994,8(2):189-194.
[22]WuCC,ShihCH,ChenWJ,etal.High success rate with exchange nailing to treat a tibial shaft aseptic nonunion[J].J Orthop Trauma,1999,13(1):33-38.
[23]Zelle BA,Gruen GS,Klatt BA,et al.Exchange reamed nailing for aseptic nonunion of the tibia[J].J Trauma,2004,57:1053-1059.
[24]Elster EA,Stojadinovic A,Forsberg J,et al.Extracorporeal shock wave therapy for nonunion of the tibia[J].J Orthop Trauma,201024(3):133-41.
[25]李宏宇,梁斌,李丽春,等.体外冲击波治疗四肢骨折内固定术后骨不连[J].中国矫形外科杂志,2011,19(2):175-176.
[26]邢星,冯培.体外冲击波治疗骨折延迟愈合及骨不连:动物实验及临床病例随访[J].中国组织工程研究与临床康复,2010,14(9):1625-1628.
[27]Wang CJ,Cheng JH,Huang CC,Extracorporeal shockwave therapy for avascular necrosis of femoral head[J].Int J Surg,2015,24(Pt B):184-187.
[28]李平,杨凯,刘强,等.ESWT对兔激素性股骨头缺血坏死GMP-140、TM、OPG表达的影响[J].中国医学创新,2014,11(24):17-21.
[29]陈苏平,李平.ESW对兔成骨细胞增殖影响的实验研究[J].当代医学,2012,18(4):150-152.
[30]郭小波,李平,卢向东,等.体外冲击波对兔缺血坏死股骨头血管内皮生长因子表达的研究[J].山西医药杂志,2009,38(3):210-212.
[31]成毅,李平.ESWT治疗股骨头缺血性坏死的疗效分析[J].中国医药科学,2015,5(1):20-22,26.
[32]武政,冯阳阳,阴彦兵,等.体外冲击波和髓芯减压术治疗早期股骨头坏死远期临床疗效的比较研究[J].创伤外科杂志,2017,19(1):48-51.
[33]翟磊,孙楠,王景贵,等.体外冲击波对早中期股骨头坏死患者骨髓间质干细胞生物学特性的影响[J].中华骨科杂志,2010,30(1):84-91.
[34]李明亮,高根德.体外冲击波治疗家兔股骨头坏死的实验研究[J].中华物理医学与康复杂志,2004,26(11):648-651.
[35]汪结,彭昊,刘世清,等.体外冲击波治疗兔缺血性股骨头坏死过程中血管内皮生长因子的表达[J].中华实验外科杂志,2009,26(5):639-640.
[36]杨以萌,张浩,廖伟雄,等.冲击波对人骨髓间充质干细胞增殖和成骨分化作用的研究[J].中国实验血液学杂,2017,25(1):209-213.
[37]王志强,王景贵,苏学涛,等.体外冲击波重建骨组织结构治疗股骨头缺血性坏死[J].中国组织工程研究与临床康复,2008,12(13):2547-2550.
[38]张健,孙辉,张建华,等.冲击波治疗老年髌骨劳损的疗效[J].中国老年学杂志,2017,37(11):2758-2759.
[39]刘水涛,杨军,史展,等.发散式体外冲击波治疗距骨骨软骨损伤的效果[J].武警医学,2017,28(7):694-697.
[40]邢更彦,张鹏礼,史展,等.体外冲击波疗法联合踝关节镜治疗距骨骨软骨损伤[J].中国矫形外科杂志,2011,19(12):978-981.
[41]d'Agostino C,Romeo P,Lavanga V,et al.Effectiveness of extracorporeal shock wave therapy in bone marrow edema syndrome of the hip[J].Rheumatol Int,2014,34(11):1513-1518.
[42]Martini L,Giavaresi G,Fini M,et al.Effect of extracorporeal shock wave therapy on osteoblastlike cells[J].Clin Orthop,2003,413(413):269-280.2018-01-25
[2]喻晶晶,石晓兵.膝骨关节炎的诊疗及其进展[J].骨科,2012,3(1):55-56.
[3]谢进,韩晋,王伊文,等.膝关节骨性关节炎药物治疗[J].中国医药指南,2010,8(10):38-40.
[4]Singh G,Fort JG,Goldstein JL,et al.Celecoxib versus naproxen and diclofenac in osteoarthritis patients:SUCCESS-I Study[J].Am J Med,2006,119(3):255-266.
[5]Krzeski P,Buckland-Wright C,BálintG,et al.Development of musculoskeletal toxicity without clear benefit after administration of PG-116800,a matrix metalloproteinase inhibitor,to patients with knee osteoarthritis:a randomized,12-month,double-blind,placebo-controlled study[J].Arthritis Res Ther,2007,9(5):R109.
[6]刘彧,吴坤,刘水涛,等.体外冲击波治疗中老年女性膝关节炎的疗效观察[J].武警医学,2016,27(4):349-352.
[7]张仕年,王萧峰,章东.骨关节炎体外冲击波治疗的能量分布研究[J].生物医学工程学杂志,2015,23(2):300-304.
[8]刘搏宇,李宏宇,金先跃,等.体外冲击波对早中期膝关节骨性关节炎患者关节液中IL-1β、TNF-α及MMP-13表达的影响[J].中国矫形外科杂志,2016,24(19):1807-1810.
[9]黄接云,张建中,刘志华,等.放散式冲击波治疗粘连性肩关节囊炎的临床疗效研究[J].中国疼痛医学杂志,2017,23(6)434-437.
[10]潘昭勋,张洪鑫,孙超,等.放散式体外冲击波治疗钙化性冈上肌肌腱炎的临床疗效[J].中国运动医学杂志,2016,35(3)282-284+303.
[11]陈阿浮,连松勇,陈千红,等.冲击波结合运动康复治疗肩峰下撞击综合征的临床疗效[J].中国妇幼健康研究,2017,28(2)410-411.
[12]何栩,罗小兵,李少柏,等.冲击波联合肩关节功能训练治疗冈上肌肌腱炎的临床研究[J].中华肩肘外科电子杂志,2017,5(1):9-14.
[13]徐远红,杨凤翔,王刚,等.温针灸与体外冲击波治疗肩周炎疗效比较[J].中国中医急症,2010,19(10):1688-1689.
[14]徐远红,王俊华,罗秀玲,等.体外冲击波治疗顽固性网球肘24例[J].河南中医,2016,36(7):1266-1268.
[15]张隆浩,黄广林,满立波.放散状与聚焦状冲击波治疗肱骨外上髁炎的疗效比较[J].中国康复医学杂志,2013,28(2):151-153.
[16]张盘德,彭小文,容小川,等.体外冲击波治疗网球肘的镇痛效果研究[J].中国康复医学杂志,2013,28(1):32-35.
[17]刘彧,吴坤,刘水涛,等.发散式体外冲击波治疗桡骨茎突狭窄性腱鞘炎的疗效观察[J/CD].中国医学前沿杂志(电子版)2015,7(11):18-20.
[18]娄靖,刘水涛,史展,等.发散式体外冲击波疗法与外用酮洛芬凝胶治疗肱骨外上髁炎的对比研究[J/CD].中国医学前沿杂志(电子版),2017,9(2):7-11.
[19]Einhorn TA.Enhancement of fracture-healing[J].J Bone Joint Surg Am,1995,77(6):940-56.
[20]Friedlaender GE,Perry CR,Cole JD,et al.Osteogenic protein-1(bone morphogenetic protein-7)in the treatment of tibial nonunions[J].J Bone Joint Surg Am,2001,83-A:151-158.
[21]Wiss DA,Stetson WB.Nonunion of the tibia treated with a reamed intramedullary nail[J].J Orthop Trauma,1994,8(2):189-194.
[22]WuCC,ShihCH,ChenWJ,etal.High success rate with exchange nailing to treat a tibial shaft aseptic nonunion[J].J Orthop Trauma,1999,13(1):33-38.
[23]Zelle BA,Gruen GS,Klatt BA,et al.Exchange reamed nailing for aseptic nonunion of the tibia[J].J Trauma,2004,57:1053-1059.
[24]Elster EA,Stojadinovic A,Forsberg J,et al.Extracorporeal shock wave therapy for nonunion of the tibia[J].J Orthop Trauma,201024(3):133-41.
[25]李宏宇,梁斌,李丽春,等.体外冲击波治疗四肢骨折内固定术后骨不连[J].中国矫形外科杂志,2011,19(2):175-176.
[26]邢星,冯培.体外冲击波治疗骨折延迟愈合及骨不连:动物实验及临床病例随访[J].中国组织工程研究与临床康复,2010,14(9):1625-1628.
[27]Wang CJ,Cheng JH,Huang CC,Extracorporeal shockwave therapy for avascular necrosis of femoral head[J].Int J Surg,2015,24(Pt B):184-187.
[28]李平,杨凯,刘强,等.ESWT对兔激素性股骨头缺血坏死GMP-140、TM、OPG表达的影响[J].中国医学创新,2014,11(24):17-21.
[29]陈苏平,李平.ESW对兔成骨细胞增殖影响的实验研究[J].当代医学,2012,18(4):150-152.
[30]郭小波,李平,卢向东,等.体外冲击波对兔缺血坏死股骨头血管内皮生长因子表达的研究[J].山西医药杂志,2009,38(3):210-212.
[31]成毅,李平.ESWT治疗股骨头缺血性坏死的疗效分析[J].中国医药科学,2015,5(1):20-22,26.
[32]武政,冯阳阳,阴彦兵,等.体外冲击波和髓芯减压术治疗早期股骨头坏死远期临床疗效的比较研究[J].创伤外科杂志,2017,19(1):48-51.
[33]翟磊,孙楠,王景贵,等.体外冲击波对早中期股骨头坏死患者骨髓间质干细胞生物学特性的影响[J].中华骨科杂志,2010,30(1):84-91.
[34]李明亮,高根德.体外冲击波治疗家兔股骨头坏死的实验研究[J].中华物理医学与康复杂志,2004,26(11):648-651.
[35]汪结,彭昊,刘世清,等.体外冲击波治疗兔缺血性股骨头坏死过程中血管内皮生长因子的表达[J].中华实验外科杂志,2009,26(5):639-640.
[36]杨以萌,张浩,廖伟雄,等.冲击波对人骨髓间充质干细胞增殖和成骨分化作用的研究[J].中国实验血液学杂,2017,25(1):209-213.
[37]王志强,王景贵,苏学涛,等.体外冲击波重建骨组织结构治疗股骨头缺血性坏死[J].中国组织工程研究与临床康复,2008,12(13):2547-2550.
[38]张健,孙辉,张建华,等.冲击波治疗老年髌骨劳损的疗效[J].中国老年学杂志,2017,37(11):2758-2759.
[39]刘水涛,杨军,史展,等.发散式体外冲击波治疗距骨骨软骨损伤的效果[J].武警医学,2017,28(7):694-697.
[40]邢更彦,张鹏礼,史展,等.体外冲击波疗法联合踝关节镜治疗距骨骨软骨损伤[J].中国矫形外科杂志,2011,19(12):978-981.
[41]d'Agostino C,Romeo P,Lavanga V,et al.Effectiveness of extracorporeal shock wave therapy in bone marrow edema syndrome of the hip[J].Rheumatol Int,2014,34(11):1513-1518.
[42]Martini L,Giavaresi G,Fini M,et al.Effect of extracorporeal shock wave therapy on osteoblastlike cells[J].Clin Orthop,2003,413(413):269-280.2018-01-25