| 肌骨超声引导下针刀治疗屈指肌腱狭窄性腱鞘炎的临床观察 |
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| 引用本文： | 王宝剑,黄沪,常青,孙武,高春雨,时宗庭,张暑岚. 肌骨超声引导下针刀治疗屈指肌腱狭窄性腱鞘炎的临床观察[J]. 中国中医骨伤科杂志, 2019, 0(3): 29-32 |
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| 作者姓名： | 王宝剑 黄沪 常青 孙武 高春雨 时宗庭 张暑岚 |
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| 作者单位： | 中国中医科学院望京医院;北京中医药大学第三附属医院 |
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| 摘 要： | 目的:评价超声定位下针刀治疗屈指肌腱狭窄性腱鞘炎的临床疗效,超声下测量并总结A1滑车形态及其位置,使该操作趋向精准化。方法:回顾2016年2月至2018年2月期间在北京中医药大学第三附属医院门诊患者,采用超声引导下针刀治疗屈指肌腱狭窄性腱鞘炎患者60例(69指),于术前、术后2周及术后1个月收集患指A1滑车厚度、Quinnell分级以及VAS评分值,并进行分析比较。同时于术前测量并标记A1滑车厚度、宽度、与掌横纹远端的距离及其与指动脉的距离。结果:术前后A1滑车厚度、Quinnell分级以及VAS评分分别行单因素重复测量方差分析,差异有统计学意义(P<0.01)。测得患指A1滑车平均厚度1.54mm,A1滑车平均宽度6.70mm,A1滑车近缘与掌横纹平均距离3.20mm,A1滑车中线距两侧指动脉的平均距离8.00mm.结论:肌骨超声引导下针刀治疗屈指肌腱狭窄性腱鞘炎的疗效确切,安全性高。超声直视下的A1滑车形态及其位置使该治疗趋向精准化,有利于该技术的普及和推广。
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| 关 键 词： | 肌骨超声 针刀 屈指肌腱狭窄性腱鞘炎 |
Clinical Observation of Musculoskeletal Ultrasound Guided Needle-knife on the Flexor Tendon Stenosis Tenosynovitis |
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| WANG Baojian,HUANG Hu,CHANG Qing,SUN Wu,GAO Chunyu,SHI Zongting,ZHANG Shulan. Clinical Observation of Musculoskeletal Ultrasound Guided Needle-knife on the Flexor Tendon Stenosis Tenosynovitis[J]. Chinese Journal of Traditional Medical Traumatology & Orthopeics, 2019, 0(3): 29-32 |
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| Authors: | WANG Baojian HUANG Hu CHANG Qing SUN Wu GAO Chunyu SHI Zongting ZHANG Shulan |
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| Affiliation: | (Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China;The Third Affiliated Hospital of Beijing University of Traditional Chinese Medicine,Beijing 100029,China.) |
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| Abstract: | WANG Baojian;HUANG Hu;CHANG Qing;SUN Wu;GAO Chunyu;SHI Zongting;ZHANG Shulan(Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China;The Third Affiliated Hospital of Beijing University of Traditional Chinese Medicine,Beijing 100029,China.) |
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| Keywords: | musculoskeletal ultrasound needle knife flexor tendon stenosis tenosynovitis |
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