超声引导V型针刀斜刺治疗指屈肌腱狭窄性腱鞘炎的疗效观察  

Observation on the Efficacy of Ultrasound-Guided V-Shaped Needle-Knife Oblique Puncture in the Treatment of Stenosing Tenosynovitis of the Finger Flexor Tendons

作　　者：唐宗瀚 贺琳钦 张奇 孔丽峰 陈启鹏 宋寒冰[1] 

机构地区：[1]黑龙江中医药大学附属第一医院骨伤三科,黑龙江 哈尔滨

出　　处：《中医学》2024年第12期3459-3467,共9页Traditional Chinese Medicine

基　　金：黑龙江省自然科学基金(YQ2020H028)。

摘　　要：目的:本研究通过对屈指肌腱狭窄性腱鞘炎患者进行超声引导V型针刀斜刺治疗,比较治疗前后VAS、Quinnell分级评分以及腱鞘厚度的变化情况评估治疗效果。方法:采用Excel随机表格法将72例屈指肌腱狭窄性腱鞘炎患者分为试验组和对照组。试验组:35例(超声引导V型针刀治疗,试验组有1例失访);对照组:34例(常规针刀治疗,对照组有2例失访)。结果:在治疗后的第1周和第3周,两组患者的VAS评分、腱鞘厚度及Quinnell分级均显示出下降趋势,并且这种差异具有统计学意义(p p p p Purpose: This study uses ultrasound-guided V-shaped needle-knife oblique puncture treatment in patients with stenosing tenosynovitis of the flexor tendon and compares the changes in VAS, Quinnell grade scores, and tendon sheath thickness before and after treatment to evaluate the treatment effect. Methods: 72 patients with stenosing tenosynovitis of the flexor tendon were divided into the experimental group and the control group using the Excel random table method. Experimental group: 35 cases (ultrasound-guided V-shaped acupuncture treatment, 1 case in the experimental group was lost to follow-up);Control group: 34 cases (conventional acupotomy treatment, 2 cases in the control group were lost to follow-up). Results: In the 1st and 3rd weeks after treatment, the VAS scores, tendon sheath thickness, and Quinnell grade of the two groups of patients all showed a downward trend, and this difference was statistically significant (p p p p < 0.05). No complications were found during postoperative follow-up. Conclusion: Ultrasound-guided V-shaped acupuncture treatment is an effective and safe option for patients with stenosing tenosynovitis of the digital flexor tendon.

关 键 词：超声引导 针刀松解术 V型针刀 

分 类 号：R24[医药卫生—中医临床基础]