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首页> 外文期刊>Alexandria Journal of Medicine >Ultrasound guided local steroid injection versus extracorporeal shockwave therapy in the treatment of plantar fasciitis
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Ultrasound guided local steroid injection versus extracorporeal shockwave therapy in the treatment of plantar fasciitis

机译：超声引导下局部类固醇注射与体外冲击波治疗足底筋膜炎

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Objective This study was conducted to compare and evaluate the therapeutic effects of ultrasound guided local steroid injection versus medium frequency shock wave therapy in plantar fasciitis treatment among Egyptian population. Patients and methods Between May 2009 and May 2010, 60 patients (27 males, 33 females), otherwise healthy individuals with the diagnosis of unilateral plantar fasciitis were included in this study. All patients underwent subjective assessment following The Mayo clinical scoring system and objective assessment through measuring plantar fascia thickness by US imaging. Patients were randomly classified into two equal groups; group A had ultrasound guided local steroid injection, and group B received high dose of extracorporeal shock wave therapy. Results There was a statistically significant reduction in plantar fascia thickness after treatment in both groups, while no statistically significant difference between the study groups. According to assessment with Mayo clinic scoring system, despite the fact that both groups showed statistically significant improvement at the end of follow up period, there was no statistically significant difference between the study groups. Conclusion Both treatment groups showed significant clinical and radiological improvement of plantar fasciitis after therapy with statistically non-significant superior results of the extracorporeal shock wave therapy group. However, we do recommend local steroid injection as our preferred method of treatment as it attains clinical improvement at a much better cost effective value.
机译：目的本研究旨在比较和评估超声引导下局部类固醇注射与中频冲击波治疗在埃及人群足底筋膜炎中的治疗效果。患者和方法在2009年5月至2010年5月之间，本研究包括60例患者（男27例，女33例），否则诊断为单侧足底筋膜炎的健康个体。所有患者均根据Mayo临床评分系统进行主观评估，并通过US成像测量足底筋膜厚度进行客观评估。患者被随机分为两组。 A组接受超声引导的局部类固醇注射，B组接受高剂量的体外冲击波治疗。结果两组治疗后足底筋膜厚度均有统计学意义的降低，而研究组之间无统计学意义的差异。根据Mayo临床评分系统的评估，尽管两组在随访期末均显示出统计学上的显着改善，但研究组之间没有统计学上的显着差异。结论两个治疗组在治疗后均显示足底筋膜炎的临床和影像学显着改善，而体外冲击波治疗组在统计学上无显着优势。但是，我们确实建议将局部类固醇注射剂作为我们的首选治疗方法，因为它可以以更好的成本效益值实现临床改善。

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