[1]张倩,李春叶△,王华,等.超声引导针刀不同入路治疗拇指扳机指80例[J].中国中医骨伤科杂志,2024,32(12):79-83.[doi:10.20085/j.cnki.issn1005-0205.241215 ]
　ZHANG Qian,LI Chunye,WANG Hua,et al.80 Cases Study on Different Approaches of Ultrasound-Guided Needle Knife in the Treatment of Trigger Finger of Thumb[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(12):79-83.[doi:10.20085/j.cnki.issn1005-0205.241215 ]
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超声引导针刀不同入路治疗拇指扳机指80例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年12期
页码:
79-83
栏目:
临床报道
出版日期:
2024-12-15

文章信息/Info

Title:
80 Cases Study on Different Approaches of Ultrasound-Guided Needle Knife in the Treatment of Trigger Finger of Thumb
文章编号:
1005-0205(2024)12-0079-05
作者:
张倩1; 李春叶1△; 王华1; 谢荣1; 张校瑜1
1江苏大学附属医院(江苏 镇江,212001)
Author(s):
ZHANG Qian1; LI Chunye1△; WANG Hua1; XIE Rong1; ZHANG Xiaoyu1
1Affiliated Hospital of Jiangsu University,Zhenjiang 212001,Jiangsu China.
关键词:
针刀治疗;  超声技术;  扳机指;  拇指屈肌腱腱鞘炎;  A1滑车
Keywords:
acupotomy treatment;  ultrasonography;  trigger finger;  stenosing tenosynovitis of thumb;  A1 pulley
分类号:
R686.1
DOI:
10.20085/j.cnki.issn1005-0205.241215
文献标志码:
B
摘要:
目的:观察超声引导针刀不同入路治疗拇指扳机指的疗效。方法:纳入2022年1月至2024年1月诊断为拇指扳机指且符合纳入标准的80例病例,随机分为近端组和远端组(每组各40例)。两组患者分别由超声引导针刀经近心端和远心端穿刺经皮入路松解A1滑车联合腱鞘内注射治疗。观察两组患者治疗后1周、3周、3个月的疼痛视觉模拟量表(VAS)评分、上肢功能快速问卷(qDASH)评分及追加治疗情况,两组患者总体治疗效果和不良反应发生情况。结果:两组患者基础资料差异无统计学意义(P>0.05),治疗后1周、3周、3个月VAS评分、追加治疗病例数及总体治疗效果差异无统计学意义(P>0.05)。相较于近端组,远端组治疗时间更短,治疗后1周、3周、3个月 qDASH评分更低,治愈率更高,不良反应发生率更低,差异均有统计学意义(P<0.05)。结论:超声引导针刀远心端经皮入路松解A1滑车联合腱鞘内注射治疗拇指扳机指,治疗时间短,治愈率更高,功能恢复更理想,不良反应发生率更低,值得临床推广应用。
Abstract:
Objective:To observe the efficacy of different acupotomy approaches in the treatment of trigger finger of thumb under ultrasound guidance.Methods:From January 2022 to January 2024,80 cases diagnosed with thumb trigger finger and meeting the inclusion criteria were included,and were randomly divided into proximal group and distal group,40 cases in each group.The two groups were treated with ultrasound-guided needle knife puncture through the proximal and distal ends to release the A1 pulley through the percutaneous approach combined with intrathecal injection.The VAS scores,qDASH scores and additional treatment of the two groups of patients were observed at 1 week,3 weeks and 3 months post-treatment,as well as the overall treatment effect and the occurrence of adverse reactions in both patient groups were observed.Results:There was no difference in the basic data of the two groups of patients(P>0.05),and no difference in the VAS scores,numbers of additional treatments and the overall treatment effect 1 week,3 weeks,and 3 months after treatment(P>0.05).Compared with the proximal group,the distal group had shorter treatment durations,lower qDASH scores at 1 week,3 weeks,and 3 months after treatment,higher cure rate,and the incidence of adverse reactions was lower(P<0.05).Conclusion:Ultrasound-guided percutaneous approach to release the A1 pulley combined with intrathecal injection for the treatment of thumb trigger finger has a short treatment time,higher cure rate,more ideal functional recovery,and lower incidence of adverse reactions,which is worthy of clinical promotion

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备注/Memo

备注/Memo:
基金项目:镇江市社会发展指导性科技计划项目(FZ2022089)
△通信作者 E-mail:weijunxuan138@163.com
更新日期/Last Update: 2024-12-05