超声引导下抗炎注射联合注射针松解术在老年人屈指肌腱鞘炎患者中治疗观察  

Esophageal cancer Circ/mir-16 regulates proliferation,migration,invasion,anlotinib resistance and radiation tolerance of esophageal cancer cells.

作　　者：王利刚 段文强 罗树军 宋丽军 王强 WANG Li-gang;DUAN Wen-qiang;LUO Shu-jun(Department of Anesthesiology,Beijing Huairou Hospital,Beijing 101400,China.)

机构地区：[1]北京怀柔医院麻醉科,北京101400

出　　处：《临床和实验医学杂志》2021年第3期299-302,共4页Journal of Clinical and Experimental Medicine

基　　金：北京市科学技术委员会科研项目(编号:Z171100001017262)。

摘　　要：目的研究超声引导下抗炎注射联合注射针松解术治疗老年人屈指肌腱狭窄性腱鞘炎的临床疗效。方法前瞻性分析2016年1月至2019年11月北京怀柔医院收治的150例60周岁以上的老年人屈指肌腱狭窄性腱鞘炎患者,采用随机数字表法分为3组,每组各50例。A组采用超声引导下抗炎注射联合注射针松解术,B组采用超声引导下小针刀经皮松解术,C组采用超声引导下单纯抗炎注射。比较3组治疗后7、30 d的临床疗效,比较3组患者治疗前、治疗后7 d和治疗后30 d的病变手指疼痛视觉模拟评分法(VAS)评分以及术后并发症发生情况。结果治疗后7 d,A组患者治疗总有效率为98.00%,高于B组的84.00%、C组的82.00%;治疗后30 d,A组患者治疗总有效率为96.00%,高于B组的78.00%和C组的76.00%,差异均有统计学意义(P<0.05)。3组患者治疗前VAS评分比较[(6.70±1.31)分vs.(7.20±1.43)vs.(6.80±1.45)分],差异无统计学意义(P>0.05);A组治疗后7、30 d的VAS评分为(1.55±0.45)、(0.93±0.50)分,均低于B、C组[(2.60±0.57)、(1.60±0.46)分;(2.30±0.42)、(1.90±0.63)分],差异均有统计学意义(P<0.05)。A、B、C组患者的并发症发生率分别为0、8.00%和0,B组并发症发生率明显高于A、C组,差异有统计学意义(P<0.05)。结论超声引导下抗炎注射注射针松解术治疗老年人屈指肌腱狭窄性腱鞘炎具有良好的疗效,可明显改善患者疼痛且安全性较高,值得临床推广应用。Objective To study the clinical efficacy of ultrasound-guided anti-inflammatory injection combined with needle lysis in the treatment of flexor tendon stenosing tenosynovitis.Methods A retrospective analysis of 150 elderly patients with flexor tendon stenosing tenosynovitis in the flexor tendon stenosing tenosynovitis of the flexor tendon in the Beijing Huairou Hospital,from January 2016 to November 2019 were divided into 3 groups by random number table method,50 cases in each group.Group A was treated with ultrasound-guided anti-inflammatory injection combined with needle lysis,group B was treated with ultrasound-guided percutaneous lysis with a small needle knife,and group C was treated with ultrasound-guided simple anti-inflammatory injection.The total clinical efficacy of the three groups was compared the 7th,30th d after treatment.Diseased finger pain visual analogue score(VAS)of patients in the three groups were also compared before treatment,the 7th,30th d after treatment,as well as postoperative complications.Results The total effective rate of patients in group A was 98.00%,much higher than that of group B(84.00%)and group C(82.00%)at the 7th d after treatment,and the total effective rate of patients in group A was 96.00%,significantly higher than that of group B(78.00%)and group C(76.00%)at the 30th d after treatment,there were significant differences among the three groups(P<0.05).The comparison of the VAS scores of the three groups before treatment[(6.70±1.31)vs.(7.20±1.43)vs.(6.80±1.45)points],the differences were not statistically significant(P>0.05);The VAS score of group A at the 7th,30th d after treatment were(1.55±0.45)and(0.93±0.50)points,which were lower than group B and C[(2.60±0.57),(1.60±0.46)points;(2.30±0.42),(1.90±0.63)points],the differences were statistically significant(P<0.05).The incidence rate of postoperative complications of group A,group B and group C was 0,8.00%and 0,respectively,the incidence of complications in group B was significantly higher than that in groups A a

关 键 词：老年患者 屈指肌腱狭窄性腱鞘炎 超声引导 抗炎注射联合注射针松解术 小针刀经皮松解术 

分 类 号：R686.1[医药卫生—骨科学]