北京中医药大学学报2018，Vol.41Issue(3)：259-264,6.DOI:10.3969/j.issn.1006-2157.2018.03.014
推割刀经皮微创松解术治疗狭窄性腱鞘炎的临床研究
Treatment of stenosal tendosynovitis with percutaneous micro-invasive release therapy by using push-cut knife: a clinical trial
摘要
Abstract
Objective To evaluate the effectiveness and safety of percutaneous micro-invasive release therapy by using push-cut knife on stenosal tendosynovitis. Methods The patients with stenosal tendosy-novitis were chosen according to inclusion criteria,and then divided,based on random digital table and 1:1 of random concealmert,into push-cut knife group and needle-knife group. The push-cut knife group was given push-cut knife therapy one time, and was given traditional needle-knife one time. The main outcome index was cure rate on the 27thweek after treatment, and secondary indexes included pain scores,joint range of motion (ROM) and trigger indications. The safety indexes included complications and adverse events. Results There were totally 120 patients were chosen,but one quitted due to serious disease in needle-knife group,and 119 patients completed the study and were brought into the statistical analysis of outcome indexes. On the 27thweek after treatment,there were 55 cases(91.67%) cured in push-cut knife group and 39 (66.10%) cured in needle-knife group (P<0.001). The indexes of trig-ger indications,pain and ROM were significantly relieved in 2 groups,and improved more significantly o-ver time. The comparisons at the time points of the 1st,3rd,6th,12thand 27thweeks showed that,the re-liefs of trigger indications, pain and ROM were superior in push-cut knife group than those in needle-knife group (P<0.05). There were no adverse events or complications occurred in 2 groups. Conclu-sion The push-cut knife has higher one-off cure rate in treatment of stenosal tendosynovitis. The signs of pain,ROM and trigger indications are relieved immediately after treatment,and continuously relieved af-ter half year. There are no adverse events occurred.关键词
推割刀/针刀/经皮微创松解术/狭窄性腱鞘炎/弹响指/扳机指Key words
push-cut knife/needle-knife/percutaneous micro-invasive release therapy/stenosal tendosynovitis/snapping finger/trigger finger分类
医药卫生引用本文复制引用
于长禾,罗涛,刘长信,赵宇捷,田贵华,王锡友,刘景,王福..推割刀经皮微创松解术治疗狭窄性腱鞘炎的临床研究[J].北京中医药大学学报,2018,41(3):259-264,6.基金项目
北京市科技计划首都市民健康培育项目(No.Z141100002114008)Healthy Fostering for Capital Citizens(No.Z141100002114008) （No.Z141100002114008）
