超声引导下勾刀治疗成人“扳机指”的效果观察  

Observation on the effect of ultrasound-guided hook knife in the treatment of adult"trigger finger"

作　　者：金建淼 章宁杰[1] 王晋钟[1] 何建明[1] 朱海波[1] JIN Jianmiao;ZHANG Ningjie;WANG Jinzhong;HE Jianming;ZHU Haibo(Department of Hand and Foot Surgery,Shaoxing Hospital of Chinese Medicine,Shaoxing 312000,China)

机构地区：[1]绍兴市中医院手足外科,浙江绍兴312000

出　　处：《中国现代医生》2022年第17期55-57,72,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2017ZB090)。

摘　　要：目的 探讨超声引导下勾刀治疗成人“扳机指”的效果。方法 选择2019年6月~2020年12月在绍兴市中医院治疗的“扳机指”患者80例为研究对象,随机分为观察组与对照组,每组各40例。对照组采用外科手术治疗,观察组采用超声引导下勾刀治疗。比较两组治疗前后的VAS评分、狭窄部位腱鞘厚度、肌腱厚度、肌腱横截面面积及临床疗效。结果 两组治疗后VAS评分均呈显著下降趋势,与治疗前比较,差异有统计学意义(P<0.01);治疗后1周,观察组患者VAS评分为(2.25±0.44)分,显著低于对照组的(3.76±0.58)分,差异有统计学意义(P<0.01);治疗后4周,两组VAS评分比较,差异无统计学意义(P>0.05)。两组治疗后的腱鞘厚度、肌腱横截面面积较治疗前均显著下降,差异有统计学意义(均P<0.01);治疗后,两组间腱鞘厚度、肌腱厚度及肌腱横截面面积比较,差异无统计学意义(均P>0.05)。两组治疗后的肌腱厚度[(3.42±0.41)mm,(3.40±0.53)mm]较治疗前[(2.51±0.34)mm,(2.50±0.38)mm]显著增加,差异有统计学意义(均P<0.01)。两组临床疗效比较,差异无统计学意义(P>0.05)。结论 超声引导下勾刀治疗成人“扳机指”临床效果较好,与外科手术比较,创伤更小。Objective To investigate the effect of ultrasound-guided hook knife in the treatment of adult"trigger finger".Methods A total of 80 patients with"trigger finger"who were treated in our hospital from June 2019 to December2020 were selected as the study subjects,and they were randomly divided into observation group and control group,with 40 cases in each group.The control group was given surgery for treatment,and the observation group was given an ultrasound-guided hook knife.The VAS scores,the thickness of the tendon sheath at the stenosis,the thickness of the tendon,the cross-sectional area of the tendon,and the clinical efficacy were compared between the two groups before and after treatment.Results The VAS scores in both groups showed a significant downward trend after treatment.Compared with that before treatment,the difference was statistically significant(P<0.01);one week after treatment,the VAS score of patients in the observation group(2.25±0.44)points was significantly lower than that in the control group(3.76±0.58)points,and the difference was statistically significant(P<0.01);four weeks after treatment,the differences in the VAS scores in both groups were not statistically significant(P>0.05).The thickness of the tendon sheath and the cross-sectional area of the tendon after treatment in both groups were significantly decreased compared with those before treatment,and the differences were statistically significant(all P<0.01);after treatment,there was no statistically significant difference in tendon sheath thickness,tendon thickness,and cross-sectional area of the tendon between the two groups(all P>0.05).The thickness of the tendon[(3.42±0.41)mm,(3.40±0.53 mm)]after treatment in both groups was significantly increased compared with that before treatment[(2.51±0.34)mm,(2.50±0.38 mm)],and the difference was statistically significant(all P<0.01).There was no statistically significant difference in clinical efficacy between the two groups(P>0.05).Conclusion The ultrasound-guided hook knife has a goo

关 键 词：超声引导 勾刀 扳机指 肌腱厚度 

分 类 号：R274.9[医药卫生—中西医结合]