针刀松解联合腱鞘内注射治疗手指屈肌狭窄性腱鞘炎的疗效  

Efficacy of acupotomy combined with tendon sheath injection in the treatment of patients with finger flexor tendon tenosynovitis stenosans

作　　者：习冬生 

机构地区：[1]江苏省溧阳市中医医院疼痛科,213300

出　　处：《实用疼痛学杂志》2015年第3期210-212,共3页Pain Clinic Journal

摘　　要：目的观察针刀松解联合腱鞘内注射治疗手指屈肌狭窄性腱鞘炎的临床疗效。方法手指屈肌狭窄性腱鞘炎患者40例，随机分成注射组和注射针刀组，每组20例。注射组采用腱鞘内注射疗法，注射针刀组采用腱鞘内注射联合针刀松解疗法，治疗后1周分别观察两组的治愈率、有效率及并发症。结果注射组的治愈率为35％（7／20例），有效率为75％（15／20例）；注射针刀组的治愈率为80％（16／20例），有效率为95％（19／20例），注射针刀组的治愈率和有效率均明显优于注射组，差异有统计学意义（P〈0．05）。两组均未见出血、感染、肌腱断裂等严重并发症。结论针刀松解联合腱鞘内注射是一种治疗手指屈肌狭窄性腱鞘炎的安全有效方法。Objective To observe the clinical efficacy ofacupotomy combined with tendon sheath injection in the treatment of patients with finger flexor tendon tenosynovitis stenosans. Methods Forty patients with finger flexor tendon tenosynovitis stenosans were randomly divided into injection group and injection combined with needle knife group （n=20）. Patients in the injection group were received tendon sheath injection, in the combined group were received tendon sheath injection combined with needle knife therapy. The cure rate, effective rate and the complications were observed at 1 week after the treatment in the two groups. Results The cure rate and effective rate were 80% （16/20 cases） and 95% （19/20 cases）respectively in the injection combined with needle knife group, which were significantly higher than those in the injection group （35%, 7/20 cases and 75%, 15/20 cases） （P〈 0.05）. There were no serious complications such as bleeding, infection, tendon rupture in the two groups. Conclusion Acupotomy combined with tendon sheath injection is a safe and effective method for the treatment of patients with finger flexor tendon tenosynovitis stenosans.

关 键 词：小刀针 注射 腱嵌压 

分 类 号：R686.1[医药卫生—骨科学]