弯形针刀治疗屈指肌腱狭窄性腱鞘炎临床观察 |
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引用本文: | 姚新苗,万全庆,周国庆,杨米雄,朱国文.弯形针刀治疗屈指肌腱狭窄性腱鞘炎临床观察[J].浙江中西医结合杂志,2009,19(12):730-732. |
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作者姓名: | 姚新苗 万全庆 周国庆 杨米雄 朱国文 |
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作者单位: | 1. 浙江中医药大学附属第三医院,杭州,310009 2. 浙江省中医院 3. 浙江省杭州市萧山中医骨伤科医院 |
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基金项目: | 浙江省基层中医药适宜技术项目研究计划 |
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摘 要: | 目的:观察弯形针刀治疗屈指肌腱狭窄性腱鞘炎(TF)的疗效。方法:屈指肌腱狭窄性腱鞘炎患者共177例(199指),随机分为治疗组60例(68指),对照Ⅰ组58例(65指),对照Ⅱ组59例(66指)。治疗组采用弯形针刀法,对照Ⅰ组采用直形针刀法,对照Ⅱ组采用局部封闭法。结果:治疗组总有效率100%,对照Ⅰ组为72.4%,对照Ⅱ组为69.5%。治疗组疗效优于两对照组(P〈0.01)。三组术后即刻VAS评分下降比较,差异无统计学意义(P〉0.05);术后3个月VAS评分比较,治疗组下降程度优于两对照组(P〈0.05)。与术前比较,三组术后即刻体征及术后3个月体征均有明显改善(P〈0.05),治疗组体征改善程度优于两对照组(P〈0.05)。结论:弯形针刀治疗屈指肌腱狭窄性腱鞘炎损伤小,操作简便,可作为临床治疗Ⅱ、Ⅲ度TF的首选方法。
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关 键 词: | 屈指肌腱狭窄性腱鞘炎 弯形针刀 直形针刀 局部封闭 |
Curving Acupotomy for Trigger Finger |
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Institution: | YAO Xinmiao, et al. (The Third Affiliated Hospital to Zhejiang University of Traditional Chinese Medicine, Hangzhou ( 310009) , China) |
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Abstract: | Objective:To observe the therapeutic efficiency of acupotomy for trigger finger(TF). Methods:A total of 177 patients (199 fingers)with TF were randomized into 3 groups: curving acupotomy group (60 patients ,68 fingers), straight aeupotomy group(58,65 ), and local blocking group( 59,66 ). Visual analog scale (VAS) scores were used to evaluate the symptoms. Results:The curative rate in the curving acupotomy group was 100%, significantly higher than that in the straight acupotomy group (72.4%)and in the local blocking group(69.5% ) , P 〈 0.01. The VAS scores right after opertion were not significantly different in the 3 groups( P 〉 0.05 ). The VAS score was markedly lower in the curving acupotomy group than that in the other 2 group in postoperative 3 months ( P 〈 0.05 ). The signs were improved in all 3 groups right after operation and 3 months later as compared to those before treatment, better in the curving acupotomy group ( P 〈 0.05 ). Conclusion:The curving acupotomy for TF is with minor injury and simple procedures. It may be used as the treatment of choice for stage Ⅱ and Ⅲ TF. |
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Keywords: | trigger finger curving acupotomy straight acupotomy local blocking |
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