骨科切割剥离一体化针刀治疗手指屈肌腱狭窄性腱鞘炎的临床效果  

Clinical effect of orthopaedic dissection combined with acupotomy in the treatment of finger flexor tendon stenosis tenosynovitis

作　　者：牛锋[1] 高慧[1] 马勇[2] NIU Feng;GAO Hui;MA Yong(Department of Orthopedics,Yangzhou Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu Province,Yangzhou225000,China;Department of Orthopedics,the First Clinical College,Nanjing University of Chinese Medicine,Jiangsu Province,Nanjing210023,China)

机构地区：[1]南京中医药大学扬州附属医院骨伤科,江苏扬州225000 [2]南京中医药大学第一临床学院骨伤系,江苏南京210023

出　　处：《中国当代医药》2021年第23期89-91,F0004,共4页China Modern Medicine

基　　金：国家实用新型专利(ZL 201822161063.1)。

摘　　要：目的探讨骨科切割剥离一体化针刀治疗手指屈肌腱狭窄性腱鞘炎的临床效果。方法选取2018年1月—2019年1月南京中医药大学扬州附属医院收治的40例手指屈肌腱狭窄性腱鞘炎患者作为研究对象,采用随机数字表法将其分为治疗组与对照组,每组各20例。治疗组患者采用骨科切割剥离一体化针刀治疗,对照组患者采用普通小针刀治疗。比较两组患者的临床疗效、治疗后1、3、6个月视觉模拟评分法(VAS)评分。结果所有患者术后均随访6个月,未出现感染病例。治疗组患者的临床总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者的VAS评分比较,差异无统计学意义(P>0.05);两组患者治疗后1、3、6个月的VAS评分低于治疗前,差异有统计学意义(P<0.05);治疗组患者治疗后1、3、6个月的VAS评分低于对照组,差异有统计学意义(P<0.05)。结论骨科切割剥离一体化针刀治疗手指屈肌腱狭窄性腱鞘炎与传统小针刀比较具有更好的切割和剥离效果,值得临床推广引用。Objective To investigate the clinical effect of orthopedic incision and dissection integrated needle knife in the treatment of stenosis tenosynovitis of flexor tendon of finger.Methods A total of 40 patients with tenosynovitis stenosis of flexor finger tendon admitted to Yangzhou Affiliated Hospital of Nanjing University of Chinese Medicine from January 2018 to January 2019 were selected as the research subjects.They were divided into treatment group and control group by random number table method,with 20 cases in each group.Patients in the treatment group were treated with acupotomy combined with orthopedic dissection,and patients in the control group were treated with ordinary small acupotomy.Clinical efficacy and visual analogue scale(VAS)scores at 1,3 and 6 months after treatment were compared between the two groups.Results All patients were followed up for 6 months after surgery,and no infection cases were found.The total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in VAS score between the two groups before treatment(P>0.05).The VAS scores at 1,3 and 6 months after treatment in thetwo groups were lower than those before treatment,and the differences were statistically significant(P<0.05).The VAS scores in the treatment group were lower than those in the control group at 1,3 and 6 months after treatment,and the differences were statistically significant(P<0.05).Conclusion Compared with the traditional small acupotomy,the integration of orthopedic dissection and dissection in the treatment of tenosynovitis stenosis of flexor finger tendon has better dissection and dissection effect,which is worthy of clinical promotion and application.

关 键 词：骨科切割剥离一体化针刀 小针刀 手指屈肌腱狭窄性腱鞘炎 

分 类 号：R686[医药卫生—骨科学]