针刀把持器配合可视化针刀治疗Quinnell Ⅲ~Ⅳ级小儿狭窄性腱鞘炎  

Needle knife holder combined with visual needle knife in the treatment of stenosing tenosynovitis in children of Quinnell gradeⅢ-Ⅳ

作　　者：王凯 姚智渊[2] 沈江涛 孙西涛[2] 徐鑫鑫 孟起予 李战春[2] WANG Kai;YAO Zhiyuan;SHEN Jiangtao(The First Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou 310053,China)

机构地区：[1]浙江中医药大学第一临床医学院,浙江杭州310053 [2]浙江中医药大学附属第一医院骨伤科 [3]嵊州市人民医院骨科

出　　处：《全科医学临床与教育》2023年第12期1089-1091,共3页Clinical Education of General Practice

基　　金：浙江省中医药科技计划项目(2023ZL400);浙江省医药卫生科技计划项目(2018RC059)。

摘　　要：目的 探讨针刀把持器配合可视化针刀治疗Quinnell Ⅲ~Ⅳ级小儿狭窄性腱鞘炎的临床疗效。方法 选择诊断为Quinnell Ⅲ~Ⅳ级小儿狭窄性腱鞘炎的患儿50例,按照治疗方法不同分为针刀组(n=30)和腱鞘切开松解组(n=20)。比较两组患儿手术操作时间、临床疗效分析,以及治疗前、治疗3 d后关节活动度、疼痛评分的差异。结果针刀组手术操作时间明显短于腱鞘切开松解组,差异有统计学意义(t=13.59,P<0.05)。所有患儿均完成随访,无失访,两组总有效率均达到100%。治疗后3 d,针刀组的关节活动度大于腱鞘切开松解组,疼痛评分低于腱鞘切开松解组,差异均有统计学意义(t分别=-27.16、6.88,P均<0.05)。结论 针刀把持器配合可视化针刀治疗Quinnell Ⅲ~Ⅳ级小儿狭窄性腱鞘炎是一种安全、有效的方法。Objective To explore the clinical efficacy of needle knife holder combined with visual needle knife in the treatment of stenosing tenosynovitis in children of Quinnell gradeⅢ-Ⅳ.Methods To tally 50 children with stenosing tenosynovitis diagnosed as Quinnell gradeⅢ-Ⅳwere divided into needle knife group(n=30)and tendon sheath inci⁃sion and release group(n=20)according to different treatment methods.The operation time,clinical effect analysis,joint range of motion and pain score before and 3 days after treatment were compared between the two groups.Results The operation time in the needle knife group was significantly shorter than that in the tendon sheath incision and release group,and the difference was statistically significant(t=13.59,P<0.05).All the children completed the follow-up.The to⁃tal effective rate of the two groups reached 100%.Three days after treatment,the range of motion of the needle knife group was higher than that of the tendon sheath incision and release group,and the pain score of the needle knife group was lower than that of the tendon sheath incision and release group,and the differences were statistically significant(t=-27.16,6.88,P<0.05).Conclusion Needle knife holder combined with visual needle knife is a safe and effective meth⁃od for the treatment of stenosing tenosynovitis in children with Quinnell gradeⅢ-Ⅳ.

关 键 词：狭窄性腱鞘炎 针刀 超声 

分 类 号：R246.4[医药卫生—针灸推拿学]