药刀微创治疗屈指肌腱狭窄性腱鞘炎

目的通过药刀微创治疗屈指肌腱狭窄性腱鞘炎163例,218指分析,探讨药刀微创治疗屈指肌腱狭窄性腱鞘炎的疗效。方法A组药刀自痛点中心刺入,注入药液后,切割松解狭窄腱鞘对屈指肌腱的卡压,B组采用痛点阻滞法。结果治疗后随访6个月。A组136例,188指,1次治愈185指,2次治愈3指,治愈率100％,1次治愈率98．4％。B组:27例,30指,治愈21指,1次治愈13指,治愈率70％,1次治愈率43．3％,A组疗效明显优于B组(P<0．01)。结论药刀治疗操作简便,易行,靶向微创,刀药同治,痛苦小,一次性治愈率高。

Treatment of stenosing tenosynovitis of flexor digitorum with injectable-knife

Objective To observe the efficiency of micro-invasive injectable-knife for stenosing tenosynovitis of flexor digitorum. Methods One hundred and sixty three patients(218 fingers) suffering from stenosing tenosynovitis of flexor digitorum were divided into group A (136 cases, 188 fingers) and group B (27 cases,30 fingers). Stenosing tenosynovitis of flexor digitorum in group A was treated by injectable -knife and that in group B by drug injected at pain point. Result Follow up lasted 6 months for all patients. In group A 185 fingers were cured with treatment of 1 time and other 3 fingers were cured with 2 times. Only 21 fingers of 30 fingers in group B were cured. The efficiency of group A was much better than that in group B (P<0.01). Conclusion The method of injectable-knife is easily operated,micro-invasive, painless and better efficiency.