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Treatment of Chronic Lateral Epicondylitis: Platelet Rich Plasma versus Extra-Corporeal Shock Wave Therapy

机译:慢性外侧上con炎的治疗:富含血小板血浆与体外冲击波治疗

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Background: Several treatment options have been proposed to treat lateral epicondylitis. Both Platelet rich plasma (PRP) and Extra-corporeal Shock Wave Therapy (ESWT) are new treatment modalities for tendinopathy. Patients and Methods: Thirty seven patients suffering from chronic lateral epicondylitis (tennis elbow) for at least six months were treated in this study. The patients were divided into two treatment groups, the first group including 20 patients treated by ESWT and the second group including 17 patients treated by local injection of platelet-rich plasma. The results were evaluated using the visual analogue scale and the DASH score. Results: In the first group (treated by ESWT), the average follow-up period was 21.55 months. The average VAS improved from 8.2 to 1.95 and the average DASH score improved from 72.25 to 51.7. Moreover, 11 cases were satisfied (55%), 3 cases (15%) were satisfied with reservation and 6 cases (30%) were not satisfied. In the second group (treated by PRP), the average follow-up period was 18.47 months. The average VAS improved from 8.52 to 1.47, the DASH score improved from 72 to 48.23. Concerning patient satisfaction, 13 cases were satisfied (83.33%), 3 cases (10.52%) were satisfied with reservation and 1 case (5.55%) was not satisfied. Conclusion: Platelet rich plasma was proved to achieve superior results when compared to ESWT as regards pain relief, improvement of elbow function and patient satisfaction at follow-up.
机译:背景:已经提出了几种治疗外侧上con炎的选择。富血小板血浆(PRP)和体外冲击波疗法(ESWT)都是肌腱病的新治疗方法。患者和方法:本研究治疗了37例慢性外侧上con炎(网球肘)至少六个月的患者。将患者分为两个治疗组,第一组包括20例经ESWT治疗的患者,第二组包括17例通过局部注射富血小板血浆治疗的患者。使用视觉模拟量表和DASH评分评估结果。结果:在第一组(ESWT治疗)中,平均随访时间为21.55个月。平均增值服务从8.2提高到1.95,平均DASH分数从72.25提高到51.7。此外,满意者11例(占55%),满意者3例(占15%),不满意者6例(占30%)。在第二组(接受PRP治疗)中,平均随访时间为18.47个月。平均增值服务从8.52提高到1.47,DASH分数从72提高到48.23。在患者满意度方面,保留13例(83.33%),保留3例(10.52%),不满意1例(5.55%)。结论:与ESWT相比,富含血小板的血浆在缓解疼痛,改善肘部功能和随访患者满意度方面被证明具有更好的效果。

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