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扳机指的经皮手术治疗

Percutaneous Surgical Treatment of Trigger Finger.

作者信息

Orhan Serdar Satılmış

机构信息

Clínica de Ortopedia e Traumatologia, Marmara University Pendik Training and Research Hospital, İstanbul, Türkiye.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 Sep 4;59(4):e580-e583. doi: 10.1055/s-0044-1788670. eCollection 2024 Aug.

DOI:10.1055/s-0044-1788670
PMID:39239583
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11374397/
Abstract

To evaluate the efficacy of percutaneous release therapy for patients with trigger finger.  We obtained the hospital records of 120 patients who underwent percutaneous release, and their final status was evaluated by telephone.  The sample was composed of 84 (70%) female and 36 (30%) male patients, with a mean age of 55.4 (range: 30-79) years, and a mean follow-up of 28.6 (range: 6-74) months. Successful results were obtained in 118 (98.3%) patients. In the first week after the procedure, release was performed through the open surgical method in two patients who had complaints of re-entanglement in their fingers. No limitation to the joint range of motion was detected in any finger.  Percutaneous release has advantages over the open surgery method in the surgical treatment of trigger finger, due to its low cost, ease of application, performance outside operating room conditions, and similar complication rates.

摘要

评估经皮松解术治疗扳机指患者的疗效。我们获取了120例行经皮松解术患者的医院记录,并通过电话评估其最终状况。样本包括84名(70%)女性和36名(30%)男性患者,平均年龄55.4岁(范围:30 - 79岁),平均随访28.6个月(范围:6 - 74个月)。118名(98.3%)患者取得了成功的结果。在术后第一周,对2名手指出现再次卡压症状的患者采用开放手术方法进行松解。未发现任何手指的关节活动范围受限。经皮松解术在扳机指的手术治疗中比开放手术方法具有优势,因其成本低、操作简便、可在非手术室条件下进行且并发症发生率相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/11374397/2fae0ed9c172/10-1055-s-0044-1788670-i2300151pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/11374397/6724b739b5a8/10-1055-s-0044-1788670-i2300151en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/11374397/2fae0ed9c172/10-1055-s-0044-1788670-i2300151pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/11374397/6724b739b5a8/10-1055-s-0044-1788670-i2300151en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a42e/11374397/2fae0ed9c172/10-1055-s-0044-1788670-i2300151pt-1.jpg

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本文引用的文献

1
Comparing the Corticosteroid Injection and A1 Pulley Percutaneous Release in Treatment of Trigger Finger: A Clinical Trial.比较皮质类固醇注射与 A1 滑车经皮松解治疗扳机指:一项临床试验。
J Hand Surg Asian Pac Vol. 2021 Jun;26(2):207-213. doi: 10.1142/S2424835521500193.
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Outcome of percutaneous trigger finger release technique using a 20-gauge hypodermic needle.使用20号皮下注射针行经皮扳机指松解技术的结果
J Clin Orthop Trauma. 2020 Oct 25;15:55-59. doi: 10.1016/j.jcot.2020.10.043. eCollection 2021 Apr.
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Percutaneous release of trigger fingers.
扳机指的经皮松解术。
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Percutaneous release, open surgery, or corticosteroid injection, which is the best treatment method for trigger digits?经皮松解术、开放性手术还是皮质类固醇注射,对于扳机指,哪种治疗方法最好?
Clin Orthop Relat Res. 2013 Jun;471(6):1879-86. doi: 10.1007/s11999-012-2716-6. Epub 2012 Dec 4.
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Adverse events of open A1 pulley release for idiopathic trigger finger.特发性扳机指开放性A1滑车松解术的不良事件。
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Treatment of trigger finger: randomized clinical trial comparing the methods of corticosteroid injection, percutaneous release and open surgery.扳机指的治疗:比较皮质类固醇注射、经皮松解和开放性手术这三种方法的随机临床试验。
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Percutaneous A1 pulley release vs steroid injection for trigger digit: the results of a prospective, randomized trial.经皮A1滑车松解术与类固醇注射治疗扳机指:一项前瞻性随机试验的结果
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Trigger finger: etiology, evaluation, and treatment.扳机指:病因、评估和治疗。
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Open versus percutaneous release of the A1-pulley for stenosing tendovaginitis: a prospective randomized trial.A1滑车切开术与经皮松解术治疗狭窄性腱鞘炎的比较:一项前瞻性随机试验
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