Capasso Giovanni, Testa Vittorino, Maffulli Nicola, Turco Giovanni, Piluso Gabriella
Istituto di Clinica Ortopedica, II Università di Napoli, Naples, Italy.
Int Orthop. 2002;26(1):23-5. doi: 10.1007/s00264-001-0302-8.
We compared the efficacy of conservative management of de Quervain's disease in 30 women postpartum (group 1) and 30 nonpregnant women (group 2). All patients underwent conservative management consisting of 2 weeks of splinting of the affected wrist, followed by physiotherapy and antiinflammatory drugs (NSAIDs). Clinical evaluation was performed using a functional score and the visual analogue scale (VAS) of Scott-Huskinson at entry to the study, 1 month later, and at a follow-up of 6 months. Conservative management gave good results in patients in group 1. At the 6-month follow-up a significant difference between the two groups on pain and function was evident. Only one patient in group 1 versus 25 patients in group 2 underwent surgery because of failure of conservative management.
我们比较了30名产后女性（第1组）和30名非妊娠女性（第2组）保守治疗桡骨茎突狭窄性腱鞘炎的疗效。所有患者均接受保守治疗，包括对患侧手腕进行2周的夹板固定，随后进行物理治疗和使用抗炎药物（非甾体抗炎药）。在研究开始时、1个月后以及6个月随访时，使用功能评分和Scott-Huskinson视觉模拟量表（VAS）进行临床评估。保守治疗在第1组患者中取得了良好效果。在6个月随访时，两组在疼痛和功能方面存在明显差异。由于保守治疗失败，第1组只有1名患者接受了手术，而第2组有25名患者接受了手术。
