透视下痛点阻滞与针刀治疗梨状肌综合征的临床观察

目的观察痛点阻滞与小针刀治疗梨状肌综合征的临床观察。方法将118例梨状肌综合征的患者,随机分为两组,A组为治疗组72例,在透视下采用小针刀加痛点阻滞法;B组为对照组46例,采用镇痛液局部痛点阻滞。结果A组和B组有效者分别为70例（97.2%）与34例（73.9%）,A组有效率明显高于B组（P〈0.05）;复发者A组1例（1.3%）,B组12例（26.0%）,A组明显低于B组（P〈0.05）。结论在梨状肌综合征的非手术治疗方法中,透视下痛点阻滞加小针刀治疗,疗效好,并且优于单纯痛点阻滞法。

Effect of trigger point block and knife-needle combined therapy to treat pirtform syndrome under the guidance of X-ray

Objective To investigate the clinical efficacy of knife-needle and trigger point block on piriform syndrome. Methods 118 patients with piriform syndrome were divided into two groups. Trigger point block and knife-needle combined therapy were received in group A （72 cases）; Trigger point block therapy only was in group B （46 cases） . Results The effective and recurrent rates were 97% （70 cases） and 1.3% （1 case） in group A, and 74% （34 cases） and 26. 0% （12 cases） in group B respectively. The clinical efficacy was significant better in group A than that in group B （P〈0. 05）. Conclusion Among the non-opreative therapies for piriform syndrome, trigger point block and knife-needle combined therapy under the guidance of X-ray is superior than trigger point block therapy only.