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題 名 | An Overview of Shock Wave Therapy in Musculoskeletal Disorders=體外震波在骨科治療的簡介 |
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作 者 | 王清貞; | 書刊名 | 長庚醫學 |
卷 期 | 26:4 2003.04[民92.04] |
頁 次 | 頁220-232 |
分類號 | 416.26 |
關鍵詞 | 震波治療; 骨骼肌肉; Shock wave therapy; Musculoskeletal system mechanism; |
語 文 | 英文(English) |
中文摘要 | 體外震波治療骨科疾病已有15年,雖然震波能量產生的原理一樣,但是震波對骨科疾病的功能有異於對腎道結石。在泌尿科腎結石的治療,體外震波是用來解散結石經排除後改善症狀。但是對骨科疾病的治療,體外震波的功能是引導生物繆織變化、血管增生而達組織再生。目前功功的治療疾病項目包括骨折癒合不良,鈣化性肩肌腱炎,外膝肌腱炎以及腳跟痛症狀,成功益50%到91%之間,合症低,安全性高。除此之外,臨床應用也延伸到其他的疾病也包括股骨頭壞死,膝韌帶炎,Osteochondritis dessicans以及非鈣化肩肌腱炎等,初步結果滿意。這種新的治療方法很可能會取代以往的開刀治療,不但效果好,又沒有開刀的疼痛與風險,造福社會大眾,又可節省醫療費用。 望波治療原理尚不明確,我們經由動物實驗與基礎醫學研究發現體外震波的物理能量直接在動物體中產生血管增生,內涵早期生長素的排出,最後導致組織修覆與組織再生。所以體外震波在滑科疾病的治療原理是當震波的物理能量置入人體後,在一週內就會引導及新生血管增生有關的生長激素,包括Enos,VEGF以及PCNA等等。新生血管增生在四週之開始,血液循環逐漸改善,最後導致組織再生與組織癒合。這種原理在臨床試驗中,包括骨科癒合以及慢性肌腱炎的治療都有類似的機轉現象。詳細的原理機構有待進一步的研究,包括基因體以及蛋白質變化的研究等等,機能證明我們假設原理的正確性。 |
英文摘要 | Shock waves are high –energy acoustic waves generated under water with high voltage explosion and vaporization. Shock wave in urology (lithotripsy) is primarily used to disintegrate urolithiasis, whereas shock wave in orthopedics (oithotripsy) is not used to disintegrate tissues, rather to induce neovascularization, improve blood supply and tissue regeneration. The application of shock wave therapy in certain musculoskeletal distorders has been around for approximately 15 years, and the success rate in non-union of long bone fracture, calcifying tendonitis of the shoulder, lateral epicondylitis of the elbow and proximal plantar fasciitis ranged from 65% to 91%. The complications are low and negligible. Recently, shock wave therapy was extended to treat other conditions including avascular necrosis of femoral head, patellar tendonitis (jumper’s knee), osteochondritis dessicans and non-calcifying tendonitis of the shoulder. Shock wave therapy is a novel therapeutic modality without the need o surgery and surgical risks as well as surgical pain. It is convenient and cost-effective. The exact mechanism of shock wave therapy remains unknown. Based on the result of animal studies in our laboratory, it appears that the mechanism of shock waves first stimulates the early expression of angiogenesis-related growth factors including eNOS (endothelial nitric oxide synthase), VEGF (vessel endothelial growth factor) and PCNA (proliferating cell nuclear antigen), ehtn induces the ingrowth of neovascularization that improves blood supply and increases cell proliferation and eventual tissue regeneration to repair tendon or bone tissues. The rise of angiogenic marks occurred in as early as one week and only lasted for approximately 8weeks, whereas the neovascularization was first noted in 4 weeks and persisted for 12weeks or longer along with cell proliferation. These findings support the clinical observation that the effect of shock wave therapy in musculoskeletal system. |
本系統中英文摘要資訊取自各篇刊載內容。