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1.
目的:探讨桡骨茎突狭窄性腱鞘炎(STRS)患者选用高频超声诊断的价值。方法:选2019年2月-2020年2月接收50例STRS患者研究,均实施高频超声检查,以手术结果为金标准,分析其检出率、准确率、灵敏性、特异性及血流动力学表现。结果:高频超声检出率96.00%,与金标准相比无差异,统计值P>0.05。高频超声准确率96.00%、灵敏性96.14%、特异性95.61%,与金标准相比无差异,统计值P>0.05。高频超声检查发现9例(18.00%)未见血流信号,41例(82.00%)见血流信号,其中1级25例(50.00%)、2级14例(28.00%)、3级2例(4.00%)。结论:高频超声诊断STRS准确率、灵敏度较高,且具有无创、快捷、低廉等优势,可为作为诊断STRS方案。  相似文献   
2.
赵杰  戴小宇  何双华 《中国骨伤》2019,32(4):387-390
桡骨茎突狭窄性腱鞘炎,是一种常见的慢性运动系统损伤疾病,多引起关节处疼痛并伴活动时加重,对人们的日常生活造成影响。目前针对此病的治疗方法较多且各有疗效,可以分为保守治疗和手术治疗两种。本病的治疗难点在于根治,保守治疗常常能在急性期缓解疼痛,改善腕部功能,但其远期作用甚微,容易复发。手术治疗能够提高本病的治愈率,但作为有创治疗,存在一系列风险,当遇到顽固性桡骨茎突狭窄性腱鞘炎时才建议选用。笔者认为,患者教育为治疗中重要一环,并且对本病进行分级,根据疾病发展的不同情况合理选用多种手法综合治疗本病,能够有效治愈本病。  相似文献   
3.
目的:基于中医传承辅助平台(TCMISS)软件分析腱鞘炎中药外用处方的用药规律。方法通过中国知网、重庆维普、万方数据库、中国生物医学文献数据库中收集自建库至2015年治疗腱鞘炎的中药外用处方,采用关联规则算法、复杂系统熵聚类等无监督数据挖掘方法,分析处方中各种药物的使用频次、药物之间的关联规则、核心药物组合和新处方。结果对筛选出的76个中药处方进行分析,确定处方中药物的使用频次,药物之间的关联规则,挖掘出27个核心组合和3首新处方。结论腱鞘炎常用的药物以祛风湿、活血化瘀药为主。该研究结果对治疗腱鞘炎的组方用药规律具有一定的指导意义和参考价值。  相似文献   
4.
5.

Objectives

To provide an evidence-based overview of the effectiveness of conservative and (post)surgical interventions for trigger finger, Dupuytren disease, and De Quervain disease.

Data Sources

Cochrane Library, Physiotherapy Evidence Database, PubMed, Embase, and CINAHL were searched to identify relevant systematic reviews and randomized controlled trials (RCTs).

Data Selection

Two reviewers independently applied the inclusion criteria to select potential studies.

Data Extraction

Two reviewers independently extracted the data and assessed the methodologic quality.

Data Synthesis

A best-evidence synthesis was performed to summarize the results. Two reviews (trigger finger and De Quervain disease) and 37 randomized controlled trials (RCTs) (trigger finger: n=8; Dupuytren disease: n=14, and De Quervain disease: n=15) were included. The trials reported on oral medication (Dupuytren disease), physiotherapy (De Quervain disease), injections and surgical treatment (trigger finger, Dupuytren disease, and De Quervain disease), and other conservative (De Qervain disease) and postsurgical treatment (Dupuytren disease). Moderate evidence was found for the effect of corticosteroid injection on the very short term for trigger finger, De Quervain disease, and for injections with collagenase (30d) when looking at all joints, and no evidence was found when looking at the PIP joint for Dupuytren disease. A thumb splint as additive to a corticosteroid injection seems to be effective (moderate evidence) for De Quervain disease (short term and midterm). For Dupuytren disease, use of a corticosteroid injection within a percutaneous needle aponeurotomy in the midterm and tamoxifen versus a placebo before or after a fasciectomy seems to promising (moderate evidence). We also found moderate evidence for splinting after Dupuytren surgery in the short term.

Conclusions

In recent years, more and more RCTs have been conducted to study treatment of the aforementioned hand disorders. However, more high-quality RCTs are still needed to further stimulate evidence-based practice for patients with trigger finger, Dupuytren disease, and De Quervain disease.  相似文献   
6.
De Quervain's tenosynovitis is an inadequacy between the abductor pollicis longus and extensor pollicis brevis tendons and the osteo-fibrous tunnel in the first extensor compartment of the wrist. The authors report a retrospective study of 22 patients from different sport who have been treated surgically. The mean age was 36 years old with net mal predominance. The diagnosis was mainly clinical. The surgical approach is considered with the recurrence of the painful symptoms in spite of a well-done medical management. The surgical technique consists of an incision of the sheath. The sheath palmar flap has been sutured with skin (Le Viet plasty). At two and half years follow-up, the functional results were good in all the patients. However, non-aesthetic scars were noticed in 4 patients. Surgery is indicated after failure of medical management. We use a longitudinal surgical approach to avoid the radial nerve lesions. Le Viet procedure using the palmar flap of the pulley fixed to the dermis works as a barrier and maintains the tendons sliding on the radial styloid groove.  相似文献   
7.
Abstract

We report a 64-year-old man with arthritis and nodules to describe that this picture can be caused by normo-lipidemic xanthomas. Light and electron microscopy (EM) plus polymerase chain reaction (PCR) studies were performed for diagnosis and investigation. These showed features typical of xanthomas plus PCR and EM evidence of possible infection with Chlamydia pneumoniae as a pathogenetic mechanism deserving consideration. With such rare diseases, any clues to possible mechanisms seem important to record and thus to encourage future investigations. This uncommon cause of arthritis and nodules had been confused with rheumatoid arthritis by others in this case.  相似文献   
8.
Abstract

A 50-year-old Japanese fish dealer presented with painful and swollen fingers. Infectious flexor tenosynovitis with Mycobacterium marinum was suspected. Range of motion was restored after tenosynovectomy and after ofloxacin and clarithromycin were administered. Two years after the operation, the patient presented again with acute inflammation in the same fingers. Histopathological examination revealed gouty tenosynovitis. The preconception that mycobacterial infection occurs often in fish dealers caused us to miss the correct diagnosis of gouty tenosynovitis.  相似文献   
9.
目的 探讨放散状冲击波治疗桡骨茎突狭窄性腱鞘炎的疗效及安全性.方法 对47例桡骨茎突狭窄性腱鞘炎患者随机分为治疗组(32例)和对照组(15例).治疗组采用放散状冲击波治疗,对照组采用外敷双氯芬酸二乙胺,配合局部按摩.采用视觉模拟评分法(visual analog scale,VAS)评估患者治疗前、末次治疗1周后及4周后的疼痛强度.结果 治疗组患者末次治疗1周后疼痛全部缓解,功能有明显改善,治疗前及末次治疗1周和4周后VAS评分分别为(7.12±1.74)、(2.16±1.05)和(0.50±0.71),相互之间比较差异均有显著性意义(P<0.05);对照组患者治疗前后的VAS评分分别为(6.60±1.72)、(4.06±1.83)和(3.46±2.23),统计显示治疗前与治疗后1周和4周之间比较差异有统计学意义(P<0.05),但末次治疗1周和4周后之间比较差异无统计学意义(P>0.05).治疗组患者疗效明显好于对照组.结论 放散状冲击波是治疗桡骨茎突狭窄性腱鞘炎的新方法之一,具有操作简便、安全有效、无创伤、无副作用、显效快等优点,易于推广.  相似文献   
10.
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