超声引导下腕管内药物注射联合针刺松解腕横韧带治疗腕管综合征的临床疗效  

Clinical effect of ultrasound-guided carpal tunnel drug injection combined with acupuncture release of the transverse carpal ligament on the treatment of carpal tunnel syndrome

作　　者：郭璇妍[1] 陈琴[1] 贺凡丁[1] 陈凯[1] 吴艳艳[1] 王磊[1] 周乔丹 谭丽[1] 全杰荣 GUO Xuanyan;CHEN Qin;HE Fanding;CHEN Kai;WU Yanyan;WANG Lei;ZHOU Qiaodan;TAN Li;QUAN Jierong(Department of Ultrasound,Sichuan Academy of Medical Sciences ＆ Sichuan Provincal People＇s Hospital,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川省医学科学院.四川省人民医院超声科,四川成都610072

出　　处：《西南医科大学学报》2018年第4期322-325,共4页Journal of Southwest Medical University

基　　金：四川省科技厅重点科技自筹项目(2011FZZ001)

摘　　要：目的:探讨超声引导下腕管内药物注射联合针刺松解腕横韧带治疗腕管综合征的临床疗效。方法:经临床和肌电图确诊的37例腕管综合征患者,共38例手腕,采用超声引导下腕管内药物注射联合针刺松解腕横韧带的方法治疗,据Kelly疗效评定标准对患者进行术后3个月随访评估;超声测量治疗前和治疗后3个月豆状骨横断面正中神经横截面积、钩状骨横断面正中神经前后径及腕横韧带厚度。结果:术后3个月随访,患腕优21(55%),良13(34%),一般3(8%),差1(3%),优良率为89%;治疗前与治疗后3个月豆状骨横断面正中神经横截面积、钩状骨横断面正中神经前后径及腕横韧带厚度比较,差异有统计学意义(P<0.05)。结论:超声引导下腕管内药物注射联合针刺松解腕横韧带治疗腕管综合征的方法有效,值得临床应用和推广。Objective：To investigate the clinical effect of ultrasound-guided carpal tunnel drug injection combined with acupuncture release of the transverse carpal ligament（TCL） in the treatment of carpal tunnel syndrome（CTS）. Methods：A total of 37 patients（38 wrists） with a confirmed diagnosis of CTS by clinical examination andelectromyography were enrolled and treated with ultrasound-guided carpal tunnel drug injection combined with acu-puncture release of the TCL. The Kelly＇s evaluation criteria were used for follow-up evaluation at 3 months after sur-gery;ultrasound was performed to measure the cross-sectional area of the median nerve at the pisiform bone,theanteroposterior diameter of the median nerve at the hamate bone,and the thickness of the TCL before treatment andat 3 months after treatment. Results：The patients were followed up at 3 months after surgery;of the diseasedwrists,21（55%） had excellent conditions,13（34%） had good conditions,3（8%） had fair conditions,and 1（3%）had poor conditions,resulting in an excellent and good rate of 89%. The patients had significant changes in thecross-sectional area of the median nerve at the pisiform bone,the anteroposterior diameter of the median nerve atthe hamate bone,and the thickness of the TCL at 3 months after treatment（P〈0.05）. Conclusion：Ultra-sound-guided carpal tunnel drug injection combined with acupuncture release of the TCL has a good clinical effect in the treatment of CTS and thus holds promise for clinical application.

关 键 词：超声引导 针刺松解 注射 腕横韧带 腕管综合征 

分 类 号：R540.4[医药卫生—心血管疾病]