微创伤技术应用钩状针刀治疗屈指肌腱狭窄性腱鞘炎
Clinical treatment of the stenosing tenovaginitis of flexor digitorum by micro-wound technique using hooked needle-shaped surgical knife.
机构信息
Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China.
出版信息
J Tradit Chin Med. 2011 Mar;31(1):36-8. doi: 10.1016/s0254-6272(11)60008-3.
OBJECTIVE
To observe the therapeutic effect and safety of using the hooked needle-shaped knife to treat the stenosing tenovaginitis of flexor digitorum.
METHODS
Sixty outpatients were divided into a treatment group of 30 cases treated by using the hooked needle-shaped knife, and a control group of 30 cases treated by block therapy. 6 months later, the alleviation of pain in the affected finger during movement, under pressure, traction and finger-bending anti-resistance was compared before and after treatment.
RESULTS
The alleviation of pain during movement, under pressure, traction and finger-bending anti-resistance was much better in the treatment group than that of the control group (P < 0.01), with a effective rate of 93.3% in the treatment group and 80.0% in the control group (P < 0.01).
CONCLUSION
The micro-wound technique using the hooked needle-shaped knife has definite effect and safety for stenosing tenovaginitis of flexor digitorum.
目的
观察钩刀松解术治疗屈指肌腱狭窄性腱鞘炎的疗效和安全性。
方法
60 例门诊患者，分为治疗组 30 例，采用钩刀松解术治疗；对照组 30 例，采用封闭治疗。6 个月后，比较两组治疗前后患指活动时、受压时、牵拉时和抗阻力屈指疼痛缓解情况。
结果
治疗组在活动时、受压时、牵拉时和抗阻力屈指疼痛缓解方面明显优于对照组（P＜0.01），治疗组有效率为 93.3%，对照组为 80.0%（P＜0.01）。
结论
采用钩刀微创松解术治疗屈指肌腱狭窄性腱鞘炎，疗效确切，安全性高。
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