超声引导下小针刀联合药物注射治疗屈指肌腱狭窄性腱鞘炎OACSTPCD
Ultrasound-guided small needle knife combined with drug injections in the treatment of flexor tendon tenosynovitis stenosans
目的 观察超声引导下小针刀联合药物注射对屈指肌腱狭窄性腱鞘炎的临床疗效.方法 将在吉林省中医院疼痛科门诊就诊的72例屈指肌腱狭窄性腱鞘炎患者随机分为观察组和对照组,各36例.观察组在超声引导下行小针刀联合药物注射治疗,对照组采用超声引导下联合药物注射治疗.观察2组治疗后临床疗效的对比.结果 治疗后第1、3、5周,观察组VAS评分、Quinnell分级均小于对照组(P＜0.05).5周后,2组临床随访疗效进行对比,观察组的总有效率远高于对照组(P＜0.05).结论 超声引导下小针刀联合药物注射治疗屈指肌腱狭窄性腱鞘炎,安全性高,疗效好,值得推广.
Objective To observe the clinical effect of ultrasound-guided small needle knife combined with drug injections in the treatment of flexor tendon tenosynovitis stenosans.Methods A total of 72 patients with flexor tendon tenosynovitis stenosans visiting the pain department of Jilin Provincial Hospital of Traditional Chinese Medicine were randomly divided into an observation group and a control group,with 36 cases in each group.The observation group was treated with ultrasound-guided small needle knife combined with drug injections,while the control group was treated with ultrasound-guided steroid drug injections alone.The clinical efficacy was compared in the two groups after treatment.Results At the 1st,3rd,and 5th week after treatment,the VAS score and Quinnell grade were lower in the observation group than those in the control group(P<0.05).After 5 weeks,the clinical follow-up efficacy of the two groups was compared,and the total effective rate was much higher in the observation group than that in the control group(P<0.05).Conclusion It is safe and effective to treat flexor tendon tenosynovitis stenosans with ultrasound-guided small needle knife combined with drug injections,which is worthy of promotion.
郑宇辰;李向欣;周国徽;郝小刚;李格
长春中医药大学,长春 130117长春中医药大学附属医院,长春 130021山东中医药大学,济南 250014
中医学
腱鞘炎超声小针刀
tenosynovitisultrasoundsmall needle knife
《吉林中医药》 2024 (005)
595-598 / 4
吉林省中医药管理局适宜技术项目(2022021)
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