| 彩超引导下小针刀治疗成人手指屈肌腱狭窄性腱鞘炎的临床研究 |
| 投稿时间：2015-11-05 修订日期：2015-11-20 点此下载全文 |
| 引用本文：翁科迪,张新根,石钢,曹铨,孙贤杰,刘剑锋.彩超引导下小针刀治疗成人手指屈肌腱狭窄性腱鞘炎的临床研究[J].医学研究杂志,2016,45(6):111-114,179 |
| DOI：
10.11969/j.issn.1673-548X.2016.06.029 |
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| 基金项目:嘉兴市科技计划项目（2014AY21053） |
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| 中文摘要:目的 探讨彩超引导下小针刀治疗成人手指屈肌腱狭窄性腱鞘炎的临床疗效。方法 60例成人手指屈肌腱狭窄性腱鞘炎患者随机分为治疗组和对照组各30例，治疗组在彩超引导下行小针刀治疗，对照组在传统盲视下行小针刀治疗。所有患者均定期复查随访6个月，评价疗效，并用疼痛视觉模拟评分法（VAS）记录两组患者治疗前、治疗后即刻、1周、6个月时手指活动时的疼痛评分。结果 60例患者均获得随访6个月，治疗组小针刀治疗后即刻、1周和6个月手指活动时的疼痛评分VAS均小于对照组，差异有统计学意义（P<0.05）。6个月后治疗组的总治愈率是83.33%，1次操作治愈率是73.33%，对照组的总治愈率是53.33%，1次操作治愈率是43.33%，治疗组的总治愈率和1次操作治愈率高于对照组，差异有统计学意义（P<0.05）。结论 彩超引导下小针刀治疗成人手指屈肌腱狭窄性腱鞘炎能准确定位，精确治疗，减轻疼痛，提高疗效，值得临床推广。 |
| 中文关键词:彩超引导 小针刀 手指屈肌腱狭窄性腱鞘炎 |
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| Clinical Study on Treating Adult Trigger Finger with Small Needle Knife Under the Guidance of Ultrasound |
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| Abstract:Objective To analyze the clinical efficacy of treating adult trigger finger with small needle knife under the guidance of ultrasound. Methods Sixty adult patients with trigger finger were randomly divided into treatment group and control group, thirty cases in each group. Patients in the treatment group received the therapy of small needle knife with ultrasound-guided. Patients in the control group received the therapy of small needle knife without ultrasound-guided. All patients were followed-up regularly for six months to evaluate the clinical efficacy. Visual analogue scale (VAS) was used to evaluate the pain score of finger in movement before treatment and immediately, one week, six months after treatment. Results All patients were followed up at least six months. The VAS immediately after treatment, one week after treatment and six months after treatment were lower in the treatment group than in the control group, and there were significant differences between the two groups (P<0.05). After six months the total cure rate was 83.33% in treatment group and 53.33% in control group, and the cure rate at first operation was 73.33% in treatment group and 43.33% in control group. The total cure rate and cure rate at first operation in treatment group were higher than those in control group (P<0.05). Conclusion Treating adult trigger finger with small needle knife under the guidance of ultrasound can locate accurately, cure precisely, relieve pain, improve clinical efficacy, is worthy of clinical promotion. |
| keywords:Ultrasound-guided Small needle knife Trigger finger |
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