经皮微创针刀治疗拇指狭窄性腱鞘炎

发布时间：2018-05-08 08:06

本文选题：拇指狭窄性腱鞘炎 + 经皮松解　；参考：《广东医学》2012年06期

【摘要】：目的观察经皮微创针刀治疗拇指狭窄性腱鞘炎的疗效。方法采用局麻下针刀微创治疗70例拇指狭窄性腱鞘炎患者,均为单侧发病,共70个患指。术中对A1滑车部进行切割松解,术后自针刀向腱鞘部注入复方倍他米松。术前术后参照Cebesoy方法行拇指5种特定功能活动时VAS评分,评定疗效,同时观察并发症。结果手术时间平均(8.5±1.31)min。拇指狭窄性腱鞘炎一次针刀治疗后完全缓解63例,松解欠彻底7例,2周后行第2次针刀术,2次术后症状缓解。术后1个月VAS优良率94.3%,术后6个月VAS优良率100.0%。术前拇指5种特定功能活动下的VAS总评分为29.37±5.29,术后1个月降低为3.12±1.96,术后6个月为2.44±1.52。术后1个月与6个月比较,VAS评分差异有统计学意义。随访未见重大不良反应。结论经皮微创针刀治疗拇指狭窄性腱鞘炎能够有效缓解患指疼痛症状,快速恢复患指活动功能,安全可靠。
[Abstract]:Objective to observe the therapeutic effect of percutaneous minimally invasive needle knife on tenosynovitis of thumb. Methods 70 cases of thumb stenosis tenosynovitis were treated with needle knife under local anesthesia. The A 1 trochlear region was cut and loosened during the operation. After operation, compound betamethasone was injected into the tendon sheath from the needle knife. According to the Cebesoy method, the VAS score of five specific functional activities of thumb was evaluated before and after operation, the curative effect was evaluated, and complications were observed at the same time. Results the average operation time was 8.5 卤1.31 min. 63 cases of tenosynovitis tenosynovitis of thumb were completely relieved after one acupuncture operation, and 7 cases were relieved completely 2 weeks later, the symptoms were relieved 2 times after the second acupuncture operation. The excellent and good rate of VAS was 94. 3% at 1 month after operation, and the excellent and good rate of VAS was 100. 0 at 6 months after operation. The total score of VAS was 29.37 卤5.29, 3.12 卤1.96 and 2.44 卤1.52respectively. There was significant difference in VAS score between 1 month and 6 months after operation. No significant adverse reactions were observed during follow-up. Conclusion the percutaneous minimally invasive needle-knife treatment of thumb stenosis tenosynovitis can effectively relieve the pain symptoms of the affected fingers and restore the motility function of the affected fingers quickly, which is safe and reliable.
【作者单位】：广州中医药大学第二临床医学院;
【分类号】：R246

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