目的 　觀察體外沖擊波治療髕腱末端病的效果。 方法　 2006年1月－2010年12月67例髕腱末端病患者全部采用非手術治療，其中38例采用體外沖擊波治療，11例采用手法按摩療法，5例采用體外擦藥酒、藥膏，4例注射醋酸潑尼松龍加普魯卡因，9例采用針灸療法。觀察體外沖擊波治療與其他非手術療法之間的效果有無差異。 結果　 經相同療程治療后，采用體外沖擊波治療者顯效25例，有效10例，效果不明顯3例；采用其他非手術療法者顯效9例，有效12例，效果不明顯8例；兩組治療結果差異有統計學意義（Z=?2.966，P=0.003）。 結論　 應用體外沖擊波治療髕腱末端病方法簡便，操作安全，療效顯著，較其他非手術治療方法有明顯的優勢。但對運動員患者應用此方法時，應與訓練安排緊密結合起來，才能收到最大的效果。
Objective　 To explore the therapeutic effect of extracorporeal shock wave therapy (ESWT) on patellar tendinopathy (PT). Methods　 A total of 67 cases who were diagnosed with PT between January 2006 and December 2010 were selected. All of the patients were treated with conservative treatment, including ESWT in 38, massage therapy in 11, ointment in 5, injection with prednisolon acetate and procaine in 4, and acupuncture in 9. The therapeutic effects of ESWT and other treatment were observed and compared. Results　 After the same treatment duration, the therapeutic effect was excellent in 65.79%, good in 26.32%, and fair in 7.89%, respectively in patients who had undergone ESWT; while the result was excellent in 31.03%, good in 41.38%, and fair in 27.59% , respectively in the patients who had received the other conservative treatments. The difference was significant (Z=?2.966, P=0.003). Conclusions　 ESWT is easy, safe, and effective for PT. It has more distinct advantages than other conservative treatments. However, it’s better to combine the treatment with training plans when the patients are athletes.

引用本文： 雷鳴鳴,張璐. 體外沖擊波治療國家隊運動員髕腱末端病的療效分析. 華西醫學, 2012, 27(1): 37-39. doi: CNKI: 51-1356/R.20120115.1541.009 復制