高频超声辅助下针刀治疗跖管综合征效果观察  

Evaluation of Therapeutic Effect of High Frequency Ultrasound-Assisted Needle Knife in Treatment of Metatarsal Tunnel Syndrome

作　　者：林松 吴强 苗吉显 乔雅馨 席占国 孙永强 Lin Song;Wu Qiang;Miao Jixian;Qiao Yaxin;Xi Zhanguo;Sun Yongqiang(Department of Orthopedics and Ultrasonography,Luoyang Orthopedic Hospital of Henan Province,Zhengzhou 450000,China)

机构地区：[1]河南洛阳正骨医院(河南省骨科医院)骨科,郑州450000

出　　处：《河南外科学杂志》2018年第4期13-14,共2页Henan Journal of Surgery

摘　　要：目的探讨高频超声辅助下针刀治疗跖管综合征的效果及安全性。方法对2011-02—2015-11间收治的43例跖管综合征患者,采用高频超声辅助下针刀松解治疗并观察其效果。结果患者均顺利完成治疗。随访时间14~46个月,平均26.9个月,5例失访。治疗后足踝部的麻木、疼痛等症状显著改善,无并发症发生。依据Pferiffer疗效评定标准,优14例,良20例,可3例,差1例。优良率为89.5%。1例疗效差的患者后改行开放手术,疗效改善仍不明显。结论高频超声辅助针刀治疗跖管综合征,简单、安全、微创,疗效满意。Objective To explore the clinical effect on treatment of metatarsal tunnel syndrome under high frequency ultrasound-assisted needle knife surgery.Methods Totally 43 cases from February 2011 to December 2015 of metatarsal tunnel syndrome under high frequency ultrasound-assisted needle knife surgery were analyzed retrospectively.Results All patients have a smooth operation.38 patients were followed up and median follow up was 26.9 months(range 14 to 46 months).Symptoms such as numbness and pain in the foot and ankle of the patients improved significantly and no complications occurred after ultrasound-assisted needle knife surgery.The effect was excellent in14 cases,good in 20 cases,common in 3 cases and poor in 1 case,with an excellent rate of 89.5%according to Pferiffer’s evaluation criteria.One patient with poor effect was treated with open operation,and the improvement was still not good.Conclusion The treatment of metatarsal tunnel syndrome with high frequency ultrasound-assisted needle knife is a simple,safe,effective,minimally invasive treatment and the clinical effect is satisfactory.

关 键 词：高频超声 针刀术 跖管综合征 

分 类 号：R658.3[医药卫生—外科学]