[1]任树军 王龙飞△ 周宏政 杨春雨 张宇.针刀治疗腓总神经卡压综合征的疗效观察[J].中国中医骨伤科杂志,2020,28(05):28-30.
 REN Shujun WANG Longfei ZHOU Hongzheng YANG Chunyu ZHANG Yu.Observation of Needle-knife in Treatment of CommonPeroneal Nerve Entrapment Syndrome[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(05):28-30.
点击复制

针刀治疗腓总神经卡压综合征的疗效观察()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年05期
页码:
28-30
栏目:
临床研究
出版日期:
2020-05-10

文章信息/Info

Title:
Observation of Needle-knife in Treatment of CommonPeroneal Nerve Entrapment Syndrome
文章编号:
1005-0205(2020)05-0028-03
作者:
任树军1 王龙飞2△ 周宏政2 杨春雨2 张宇3
1黑龙江中医药大学附属第一医院(哈尔滨,150040)2黑龙江中医药大学研究生院3内蒙古民族大学第二临床医院(内蒙古林业总医院)
Author(s):
REN Shujun1 WANG Longfei2△ ZHOU Hongzheng2 YANG Chunyu2 ZHANG Yu3
1The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150040,China; 2Graduate School of Heilongjiang University of Chinese Medicine,Harbin 150040,China; 3The Second Clinical Hospital of Inner Mongolia University for Nationalities, Yakeshi 022150,Inner Mongolia China.
关键词:
针刀治疗 封闭治疗 腓总神经卡压综合征
Keywords:
needle-knife therapy block therapy common peroneal nerve entrapment syndrome
分类号:
R681.8
文献标志码:
A
摘要:
目的:观察针刀治疗腓总神经卡压综合征的疗效。方法:收集2018年9月至2019年11月就诊的符合腓总神经卡压综合征诊断的患者40例,采用疼痛视觉模拟评分(VAS评分)、患肢腓总神经传导速度(MCV)及波幅、踝关节主动背屈活动度作为疗效观察指标。随机分为两组,分别使用针刀治疗和封闭治疗。结果:通过比较治疗前后的VAS评分、患肢腓总神经传导速度及波幅以及踝关节主动背屈活动度,针刀治疗的疗效优于封闭治疗。结论:针刀治疗腓总神经卡压综合征的疗效优于封闭治疗,操作简单、安全可靠、疗效确切、费用低廉,可明显改善患者的生活质量,值得临床推广应用。
Abstract:
Objective:To compare the therapeutic effect of needle-knife therapy and block therapy for peroneal nerve entrapment syndrome. Methods:From September 2018 to November 2019,40 patients with common peroneal nerve entrapment syndrome were collected. All patients were randomly divided into treatment group which was treated with needle-knife therapy and control group which was treated with block therapy. VAS, MCV and ankle motion range were documented and compared.Results:Statistically significant differences were found in VAS, MCV and ankle motion range before and after treatment(P<0.05). There were statistically differences between treatment and control group(P<0.05).Conclusion:The efficacy of needle-knife therapy for common peroneal nerve entrapment syndrome is superior to that of block therapy in simple operation, safe and reliable, effective, low cost, which can significantly improve the quality of life of patients and is worthy of clinical promotion.

参考文献/References:

[1] 朱汉章,柳百智.针刀临床诊断与治疗[M].北京:人民卫生出版社,2009:305-307.
[2] 彭城,路来金,黄东旭,等.显微外科治疗腓总神经卡压综合征31例[J].重庆医学,2017,46(9):1251-1253.
[3] 胥少汀,葛宝丰,徐印坎.实用骨科学[M].4版.北京:人民军医出版社,2012:1274.
[4] 国家中医药管理局.中医病证诊断疗效标准[S].北京:中国中医药出版社,2017:36.
[5] 郭长青.针刀刀法手法学[M].北京:人民卫生出版社,2018:211-212.
[6] 刘向东.医源性腓总神经损伤136例回顾与分析[J].山西大同大学学报:自然科学版,2009,25(1):48-50.
[7] 兰受昌,张国伟,王春业,等.腘窝段腓总神经及其分支MR检查方案[J].中国医学影像技术,2019,35(8):1239-1243.
[8] PATEL PURVAK,SCHUCANY WILLIAM G. A rare case of intraneural ganglion cyst involving the tibial nerve[J].Baylor University Medical Center Proceedings,2012,25(2):132-135.
[9] 邓秋奎,张迪,许传秀.腱鞘囊肿致腓总神经卡压一例[J].中国骨与关节损伤杂志,2012,27(5):414.
[10] VAN DEN BERGH F R,VANHOENACKER F M,DE SMET E,et al.Peroneal nerve:normal anatomy and pathologic findings on routine MRI of the knee[J].Insights into Imaging,2013,4(3):287-299.
[11] MARTINOLI C,BIANCHI S,GANDOLFO N,et al.US of nerve entrapments in osteofibrous tunnels of the upper and lower limbs[J].Radio Graphics,2000,20(1):199-213.
[12] 李亚东,陈军,仲伟坤.踝关节外伤性腓总神经卡压综合征的治疗[J].中国实用神经疾病杂志,2016,19(2):92-93.
[13] 王菲,王轶钊,赵骅,等.水中运动疗法对腓总神经损伤患者功能恢复的效果研究[J].河北医科大学学报,2019,40(1):86-90.
[14] 任树军,梁彦林,姜磊,等.针刀加手法治疗腰椎小关节滑膜嵌顿症的临床疗效[J].中国中医骨伤科杂志,2019,27(2):68-69.
[15] 任树军,王墉琦,张宇,等.针刀治疗跗骨窦综合征临床疗效的回顾性分析[J].中国中医骨伤科杂志,2015,23(9):60-61.
[16] VAN ZANTVOORT ANIEK P M,SETZ MAIKEL J M,HOOGEVEEN ADWIN R,et al.Common peroneal nerve entrapment in the differential diagnosis of chronic exertional compartment syndrome of the lateral lower leg:a report of 5 cases[J].Orthopaedic Journal of Sports Medicine,2018,6(8):2325967118787761.

备注/Memo

备注/Memo:
(收稿日期:2019-11-16)通信作者 E-mail:495732770@qq.com
更新日期/Last Update: 2020-05-10