超声引导腕管类固醇注射联合腕横韧带松解治疗轻中度腕管综合征疗效评估  

The effectiveness of ultrasound-guided steroid injection combined with the transverse carpal ligament release in the treatment of mild and moderate carpal tunnel syndrome

作　　者：曾健 袁德超 李英[1] 周玉兰 姚浑鸿 周欢 杨基兰[1] ZENG Jian;YUAN Dechao;LI Ying;ZHOU Yulan;YAO Hunhong;ZHOU Huan;YANG Jilan(The Fourth People's Hospital of Zigong,Zigong 643000,Sichuan,China)

机构地区：[1]自贡市第四人民医院,四川自贡643000

出　　处：《西部医学》2022年第8期1168-1173,共6页Medical Journal of West China

基　　金：四川省卫生健康委员会科研课题(20PJ275);自贡市重点科技计划创新苗子项目(2018CXMZ05)。

摘　　要：目的探索超声引导下腕管内类固醇药物水分离正中神经联合针刺松解腕横韧带(TCL)治疗轻中度腕管综合征(CTS)的疗效。方法选取2020年1月~2021年6月于我院就诊经临床及电生理确诊的轻中度CTS 38例患者(双腕患者4例),共42只患腕,分为观察组和对照组。观察组行腕管内正中神经类固醇药物水分离并针刺松解腕横韧带,对照组仅行腕管内正中神经类固醇药物水分离。在治疗前和治疗3个月、6个月评估Boston腕管量表评分(SSS、FSS)、电生理(SCV、DML)及CSA、正中神经扁平率。结果两组治疗后较治疗前SSS、FSS、SCV、DML、CSA、正中神经扁平率均有改善(P<0.05),且观察组治疗后6月评估均明显优于对照组(P<0.05)。结论超声引导下腕管内药物水分离正中神经联合针刺松解腕横韧带治疗轻中度腕管综合征疗效优于单纯腕管内药物水分离正中神经。Objective To explore the efficacy of ultrasound-guided steroid water-separating median nerve(MN)in carpal tunnel combined with needle release the transverse carpal ligament(TCL)in the treatment of mild and moderate carpal tunnel syndrome(CTS).Methods 42 wrists were randomly divided into experimental group and control group.The experimental group was treated with steroid water separation of MN in carpal tunnel and acupuncture to release TCL.The control group was only treated with steroid water separation of MN in carpal tunnel.Assessment was performed before treatment and 3rd、6th month after treatment.Boston carpal tunnel(BCTQ)score scale(SSS,FSS),electrophysiological(SCV,DML)and ultrasonic(CSA,flattening of MN)assessment were used as evaluation indexes.Results The evaluation of SSS,FSS,SCV,DML,CSA and flattening of MN were improved in the experimental group and the control group after treatment(P<0.05),and were significantly better than those in the control group 6 months after treatment(P<0.05).Conclusion Ultrasound-guided steroid water-separating MN in carpal tunnel combined with acupuncture release TCL is better than steroid water-separating MN in carpal tunnel alone in treating mild and moderate CTS.

关 键 词：超声 类固醇 腕管综合征 腕横韧带 疗效 

分 类 号：R688[医药卫生—骨科学]