超声介入联合倍他米松治疗指屈肌腱腱鞘炎的效果观察  

Effect observation of ultrasound intervention combined with betamethasone in treatment of tenosynovitis of finger flexor tendon

作　　者：姜阳[1] JIANG Yang(Department of Physical Diagnosis,the Central Hospital of Jiamusi City in Heilongjiang Province,Jiamusi 154002,China)

机构地区：[1]黑龙江省佳木斯市中心医院物理诊断科,黑龙江佳木斯154002

出　　处：《中国现代医生》2020年第7期101-103,共3页China Modern Doctor

摘　　要：目的探讨超声介入联合倍他米松治疗指屈肌腱腱鞘炎的临床效果。方法选取2017年6月~2019年6月我院收治的86例指屈肌腱腱鞘炎患者,随机数字表法分为观察组与对照组,各43例,对照组在滑膜内注射倍他米松注射液,观察组在对照组的基础上采用超声介入治疗,采用上肢功能障碍评定量表(DASH)、疼痛自评量表(VAS)评价两组治疗前后的治疗效果,超声检测治疗前后的肌腱横截面直径、肌腱厚度。结果观察组治疗总有效率显著高于对照组(P<0.05)。两组患者治疗前VAS、DASH评分无显著差异(P>0.05);治疗后两组患者的VAS、DASH评分均有所降低(P<0.05),但观察组的VAS、DASH评分降低程度优于对照组(P<0.05)。两组患者治疗前肌腱横截面直径、肌腱厚度无显著差异(P>0.05);治疗后两组患者的肌腱横截面直径、肌腱厚度均有所减少(P<0.05),但观察组的肌腱横截面直径、肌腱厚度减少程度优于对照组(P<0.05)。结论超声介入联合倍他米松治疗指屈肌腱腱鞘炎效果显著。Objective To explore the clinical efficacy of ultrasound intervention combined with betamethasone in the treatment of tenosynovitis of finger flexor tendon.Methods Eighty-six patients with tenosynovitis of finger flexor tendon admitted to our hospital from June 2017 to June 2019 were selected and randomly divided into the observation group and the control group,with 43 patients in each group.In the control group,betamethasone was injected into the synovium.In the observation group,ultrasound intervention was performed on the basis of the treatment of the control group.Upper limb dysfunction rating scale(DASH)and pain self-rating scale(VAS)were used to evaluate the therapeutic effect of two groups before and after treatment.The cross-section diameter and thickness of tendon before and after treatment were detected by ultrasound.Results The total effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).There were no significant differences in the VAS and DASH scores between the two groups before treatment(P>0.05).After treatment,the VAS and DASH scores in the two groups were both significantly decreased(P<0.05).However,the decrease degree of VAS and DASH scores in the observation group was more than that of the control group(P<0.05).Before treatment,there were no significant differences in the cross-section diameter and thickness of tendon between the two groups(P>0.05).After treatment,the cross-section diameter and thickness of tendon in the two groups were both significantly decreased(P<0.05).However,the decrease degree of the cross-section diameter and thickness of tendon in the observation group was more than that of the control group(P<0.05).Conclusion Ultrasound intervention combined with betamethasone is effective in the treatment of tenosynovitis of finger flexor tendon.

关 键 词：超声介入 倍他米松 指屈肌腱腱鞘炎 疼痛 

分 类 号：R686.1[医药卫生—骨科学]