肌骨超声引导下针刀治疗屈指肌狭窄性腱鞘炎的临床分析  

Clinical analysis of treating stenosing tenosynovitis of flexor digitorum with Acupotomy guided by musculoskeletal ultrasound

作　　者：刘静 乔雅馨 Liu Jing;Qiao Yaxin(Henan Province Kaifeng Hospital of traditional Chinese medicine,Henan Province Kaifeng City,475000;Henan Province Luoyang orthopedic hospital,Henan Province,Zhengzhou City,450016)

机构地区：[1]河南省开封市中医院,河南开封475000 [2]河南省洛阳正骨医院,河南郑州450016

出　　处：《辽宁医学杂志》2023年第1期4-6,共3页Medical Journal of Liaoning

基　　金：河南省中医药科学研究专项,超声可视化引导针刀解枕下三角区治疗顽性颈型眩晕的临床研究及疗效评估,课题编号:2018ZY2113。

摘　　要：目的 分析屈指肌狭窄性腱鞘炎患者在肌骨超声引导下应用针刀治疗的效果。方法 抽取屈指肌狭窄性腱鞘炎患者76例,随机分为实验组和对照组两组,对照组于盲视状态进行针刀治疗,实验组则于肌骨超声引导下进行针刀治疗,比较两组患者的治疗效果、各项围手术期指标、治疗前后不同时间点A1滑车厚度和血管、神经损伤发生情况差异。结果 两组患者治疗前的A1滑车厚度和神经损伤发生率差异无意义(P>0.05),实验组的治疗有效率高于对照组(P<0.05),治疗时间、患指毛细血管充盈恢复时间和患肢感觉恢复时间均短于对照组(P<0.05),术后VAS评分、血管损伤发生率及术后半个月、一个月时的A1滑车厚度也均低于对照组(P<0.05)。结论 在肌骨超声引导下对屈指肌狭窄性腱鞘炎患者进行针刀治疗,能够安全有效的控制患者临床症状,有助于患指血运及感觉功能的恢复,且肌骨超声的引导还能够促使针刀治疗精准化的提升,有助于患者治疗后A1滑车厚度的降低,临床应用及推广价值均较高。Objective To analyze the effect of acupotomy guided by musculoskeletal ultrasound in the treatment of stenosing tenosynovitis of flexor digitorum.Methods 76 patients with stenosing tenosynovitis of flexor digitorum were selected, They were randomly divided into two groups: the experimental group and the control group.The control group was treated with Acupotomy under blind vision, while the experimental group was treated with Acupotomy under the guidance of musculoskeletal ultrasound, The therapeutic effect, perioperative indexes, A1 trochlear thickness and the occurrence of vascular and nerve injury were compared between the two groups.Results There was no significant difference in the thickness of A1 pulley and the incidence of nerve injury between the two groups before treatment(P>0.05),The effective rate of the experimental group was higher than that of the control group(P<0.05),The treatment time, capillary filling recovery time and sensory recovery time of the affected limb in the treatment group were shorter than those in the control group(P<0.05),The VAS score, the incidence of vascular injury and the thickness of A1 trochlear at half a month and one month after operation in the treatment group were also lower than those in the control group(P<0.05).The VAS score, the incidence of vascular injury and the thickness of A1 trochlear at half a month and one month after operation in the treatment group were also lower than those in the control group(P<0.05).Conclusion Under the guidance of musculoskeletal ultrasound, the patients with stenosing tenosynovitis of flexor digitorum were treated with Acupotomy, It can safely and effectively control the clinical symptoms of the patients, and help to restore the blood supply and sensory function of the affected fingers, Moreover, the guidance of musculoskeletal ultrasound can also promote the accuracy of acupotomy treatment, which is helpful to reduce the thickness of A1 trochlear after treatment, The clinical application and promotion value are high.

关 键 词：肌骨超声 针刀 屈指肌狭窄性腱鞘炎 治疗效果 

分 类 号：R686.1[医药卫生—骨科学]