首页 | 本学科首页   官方微博 | 高级检索  
检索        

弯形针刀治疗屈指肌腱狭窄性腱鞘炎临床观察
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.
作者姓名:姚新苗  万全庆  周国庆  杨米雄  朱国文
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
基金项目:浙江省基层中医药适宜技术项目研究计划 
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。

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
Institution:YAO Xinmiao, et al. (The Third Affiliated Hospital to Zhejiang University of Traditional Chinese Medicine, Hangzhou ( 310009) , China)
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.
Keywords:trigger finger curving acupotomy straight acupotomy local blocking
本文献已被 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号