镰刀状小针刀微创治疗对手指屈肌腱狭窄性腱鞘炎的效果  

Effect of sickle-shaped small needle knife minimally invasive therapy for patients with stenosing tenosynovitis of flexor tendon of finger

作　　者：范文潮[1] 陈章妹[2] 徐剑 杨洪军 王森[1] 刘园 FAN Wenchao;CHEN Zhangmei;XU Jian;YANG Hongjun;WANG Sen;LIU Yuan(Department of Hand Surgery,Changzhou Hospital of Traditional Chinese Medicine in Jiangsu Province,Changzhou,Jiangsu,213000;Department of Acupuncture and Moxibustion,Changzhou Hospital of Traditional Chinese Medicine in Jiangsu Province,Changzhou,Jiangsu,213000;Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210023)

机构地区：[1]江苏省常州市中医医院手外科,江苏常州213000 [2]江苏省常州市中医医院针灸科,江苏常州213000 [3]南京中医药大学,江苏南京210023

出　　处：《实用临床医药杂志》2024年第11期79-83,共5页Journal of Clinical Medicine in Practice

基　　金：江苏省高等学校自然科学研究项目(19EDR230327)。

摘　　要：目的探讨自制式镰刀状小针刀微创治疗对手指屈肌腱狭窄性腱鞘炎患者疼痛程度及总治愈率的影响。方法选取手指屈肌腱狭窄性腱鞘炎患者100例,按随机数字表法分为对照组和观察组,每组50例。对照组采用开放手术治疗,观察组采用自制式镰刀状小针刀微创治疗。比较2组手术指标、疼痛程度、炎性因子、并发症发生率以及总治愈率。结果观察组各项手术指标改善均优于对照组;2组手术后视觉模拟评分法(VAS)评分均低于手术前,手术后即刻、手术后7 d、手术后6个月观察组VAS评分均低于对照组;手术后2组血清白细胞介素-6(IL-6)、超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)均降低,且观察组低于对照组;观察组并发症发生率低于对照组,总治愈率高于对照组,以上差异均有统计学意义(P<0.05)。结论手指屈肌腱狭窄性腱鞘炎患者应用自制式镰刀状小针刀微创治疗的总治愈率较高,可减轻患者疼痛程度和机体炎症反应,降低并发症发生率,加快术后恢复。Objective To investigate the effect of self-made sickle-shaped small needle knife minimally invasive treatment on degree of pain and total cure rate in patients with stenosing tenosynovitis of flexor tendon of finger.Methods A total of 100 patients with stenosing tenosynovitis of flexor tendon of finger were selected and randomly divided into control group and observation group,with 50 cases in each group.The control group was treated with open surgery,while the observation group was treated with self-made sickle-shaped small needle knife minimally invasive treatment.The surgical indicators,degree of pain,inflammatory factors,incidence of complications,and total cure rate were compared between the two groups.Results The improvement of surgical indicators in the observation group was better than that in the control group;the score of the Visual Analogue Scale(VAS)in both groups after surgery were lower than those before surgery,and the VAS scores of the observation group were lower than those of the control group at the time points of immediately after surgery,7 days after surgery,and 6 months after surgery;the serum interleukin-6(IL-6),hypersensitive C-reactive protein(hs-CRP),and tumor necrosis factor-α(TNF-α)in both groups decreased after surgery,and these indexes in the observation group were lower than the control group;the incidence of complications in the observation group was lower than that in the control group,and the total cure rate was higher than that in the control group;all the differences of indexes mentioned above were statistically significant(P<0.05).Conclusion Self-made sickle-shaped small needle knife minimally invasive treatment shows a higher total cure rate in treating patients with stenosing tenosynovitis of flexor tendon of finger,which can alleviate the degree of pain and inflammatory response,reduce the incidence of complications,and accelerate postoperative recovery.

关 键 词：手指屈肌腱狭窄性腱鞘炎 镰刀状小针刀 疼痛程度 总治愈率 炎症反应 

分 类 号：R686[医药卫生—骨科学] R684[医药卫生—外科学] R458[医药卫生—临床医学]