[1]孙风凡,张盛君,何金林.肱二头肌长头肌腱损伤的研究进展[J].中医正骨,2019,31(12):47-50.
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肱二头肌长头肌腱损伤的研究进展()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期数:
2019年12期
页码:
47-50
栏目:
综  述
出版日期:
2019-12-20

文章信息/Info

作者:
孙风凡1张盛君2何金林1
(1.杭州市富阳中医骨伤医院,浙江 杭州 311400; 2.杭州市临安区中医院,浙江 杭州 311300)
关键词:
肩关节 肱二头肌长头肌腱 综述
摘要:
肱二头肌长头肌腱(long head of biceps tendon,LHBT)解剖结构特殊,损伤机制复杂。临床对于LHBT损伤可根据临床表现和影像学检查结果进行诊断,肩关节镜检查是目前诊断此类损伤的金标准。对于此类损伤应首先考虑中药内服外用、口服非甾体类抗炎药、推拿、针刀、针灸、局部药物注射、体外冲击波等非手术疗法治疗,临床中常采用多种非手术疗法联合治疗来提高疗效。对于经过系统非手术治疗无效的患者,应选择手术治疗。LHBT损伤的手术方式分为开放手术和经肩关节镜手术两大类,其中经肩关节镜手术作为目前治疗该病的主流术式具有一定优势,但其疗效和安全性与开放手术相当。对于术中行LHBT单纯切断还是切断固定,以及切断后的LHBT残端固定在肱骨近端还是远端,目前尚无定论,需要根据患者的具体情况和医生的经验进行综合考虑。本文对LHBT的解剖特点、损伤机制以及LHBT损伤的诊断和治疗方面的研究进展进行了综述。

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备注/Memo

备注/Memo:
通讯作者:孙风凡 E-mail:936294580@qq.com(收稿日期:2019-10-16 本文编辑:李晓乐)
更新日期/Last Update: 2019-12-15