[1]曹亚飞,李亨,余伟吉,等.针刀松解治疗指屈肌腱狭窄性腱鞘炎[J].中医正骨,2015,27(09):15-17.
　CAO Yafei,LI Heng,YU Weiji,et al.Release with knife needle for the treatment of stenosing tenosynovitis of finger flexor tendon[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):15-17.
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针刀松解治疗指屈肌腱狭窄性腱鞘炎()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年09期
页码:
15-17
栏目:
小针刀技术
出版日期:
2015-09-30

文章信息/Info

Title:
Release with knife needle for the treatment of stenosing tenosynovitis of finger flexor tendon
作者:
曹亚飞; 李亨; 余伟吉; 刘伟东
广东省深圳市中医院,广东 深圳 518033
Author(s):
CAO Yafei; LI Heng; YU Weiji; LIU Weidong
Shenzhen Hospital of Traditional Chinese Medicine,Shenzhen 518033,Guangdong,China
关键词:
小刀针;  扳机指症
Keywords:
small knife needle;  trigger finger disorder
摘要:
目的:观察针刀松解治疗指屈肌腱狭窄性腱鞘炎的临床疗效和安全性。方法:将89例指屈肌腱狭窄性腱鞘炎患者随机分为2组,45例采用针刀松解治疗,44例采用局部封闭治疗。分别于治疗后3周和治疗后6个月,参照《中医病证诊断疗效标准》中指屈肌腱狭窄性腱鞘炎的疗效评定标准对2组患者的临床疗效进行评定和比较,并观察并发症发生情况。结果:治疗后3周,针刀组显效45例,封闭组显效25例、好转16例、无效3例,针刀组疗效优于封闭组(Z=-4.924,P=0.000)。治疗后6个月,针刀组显效43例、好转2例,封闭组显效19例、好转18例、无效7例; 针刀组疗效优于封闭组(Z=-5.348,P=0.000)。2组患者均无神经、肌腱损伤及组织黏连等并发症发生。结论:针刀松解治疗指屈肌腱狭窄性腱鞘炎,可有效缓解疼痛、改善患指功能,安全可靠,疗效优于局部封闭治疗。
Abstract:
Objective:To observe the clinical curative effects and safety of knife needle release in the treatment of stenosing tenosynovitis of finger flexor tendon.Methods:Eighty-nine patients with stenosing tenosynovitis of finger flexor tendon were randomly divided into 2 groups,45 patients(knife needle group)were treated with percutaneous release with knife needle and 44 patients(blocking group)were treated with local blocking therapy.The curative effect were evaluated and compared between the 2 groups at 3 weeks and 6 months after the treatment respectively by using the therapeutic effects evaluation standard of stenosing tenosynovitis of finger flexor tendon which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes,and the complications were also observed.Results:Forty-five patients got a good result in the knife needle group,while 25 patients got a good result,16 fair and 3 poor in the blocking group at 3 weeks after the treatment.The knife needle group surpassed the blocking group in the curative effect(Z=-4.924,P=0.000).Forty-three patients got a good result and 2 fair in the knife needle group,while 19 patients got a good result,18 fair and 7 poor in the blocking group at 6 months after the treatment.The knife needle group surpassed the blocking group in the curative effect(Z=-5.348,P=0.000).No complications such as nerve injuries,tendon injuries and tissue adhesions were found in the 2 groups.Conclusion:Percutaneous release with knife needle can effectively relieve the finger pain and improve the finger function.It is safe and reliable for treatment of stenosing tenosynovitis of finger flexor tendon,and its curative effect is better than that of local blocking therapy.

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备注/Memo

备注/Memo:
2015-03-05收稿 2015-06-08修回
通讯作者:李亨 E-mail:liheng04zt@126.com
更新日期/Last Update: 2015-09-30