本文選題：拇指狹窄性腱鞘炎 + 經(jīng)皮松解�。� 參考：《廣東醫(yī)學(xué)》2012年06期

【摘要】：目的觀察經(jīng)皮微創(chuàng)針刀治療拇指狹窄性腱鞘炎的療效。方法采用局麻下針刀微創(chuàng)治療70例拇指狹窄性腱鞘炎患者,均為單側(cè)發(fā)病,共70個(gè)患指。術(shù)中對(duì)A1滑車部進(jìn)行切割松解,術(shù)后自針刀向腱鞘部注入復(fù)方倍他米松。術(shù)前術(shù)后參照Cebesoy方法行拇指5種特定功能活動(dòng)時(shí)VAS評(píng)分,評(píng)定療效,同時(shí)觀察并發(fā)癥。結(jié)果手術(shù)時(shí)間平均(8.5±1.31)min。拇指狹窄性腱鞘炎一次針刀治療后完全緩解63例,松解欠徹底7例,2周后行第2次針刀術(shù),2次術(shù)后癥狀緩解。術(shù)后1個(gè)月VAS優(yōu)良率94.3%,術(shù)后6個(gè)月VAS優(yōu)良率100.0%。術(shù)前拇指5種特定功能活動(dòng)下的VAS總評(píng)分為29.37±5.29,術(shù)后1個(gè)月降低為3.12±1.96,術(shù)后6個(gè)月為2.44±1.52。術(shù)后1個(gè)月與6個(gè)月比較,VAS評(píng)分差異有統(tǒng)計(jì)學(xué)意義。隨訪未見(jiàn)重大不良反應(yīng)。結(jié)論經(jīng)皮微創(chuàng)針刀治療拇指狹窄性腱鞘炎能夠有效緩解患指疼痛癥狀,快速恢復(fù)患指活動(dòng)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 鹵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 鹵5.29, 3.12 鹵1.96 and 2.44 鹵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.
【作者單位】： 廣州中醫(yī)藥大學(xué)第二臨床醫(yī)學(xué)院;
【分類號(hào)】：R246

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