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Received:October 21, 2021 Published Online:April 20, 2022
Received:October 21, 2021 Published Online:April 20, 2022
中文摘要: 目的 探讨超声引导下复方倍他米松联合针刀疗法治疗拇指屈指肌腱狭窄性腱鞘炎的临床疗效。
方法 选择2020年7月至2021年4月在临沂市人民医院康复中心针灸理疗门诊就诊的62例拇指屈指肌腱狭窄性腱鞘炎患者,随机分为观察组和对照组,每组31例。对照组在超声引导下进行药物注射治疗,观察组在对照组的基础上配合针刀治疗。对两组患者的VAS评分、Quinnell分级及临床疗效进行评定和比较,并观察肌腱的变化情况。
结果 最终纳入观察组和对照组各29例。与治疗1周时比较,治疗1个月时观察组VAS评分明显下降[(1.97±1.24)分vs(2.83±0.93)分,P<0.05],对照组也明显下降[(3.07±1.19)分vs(3.66±0.86)分,P<0.05],且治疗1个月时,观察组VAS评分显著低于对照组(P<0.05)。治疗后即时、治疗1个月时,观察组Quinnell分级优于对照组 (P<0.05)。治疗1个月时,观察组总有效率100%,对照组总有效率79.31%;观察组肌腱厚度为(3.60±0.30)mm,对照组为(3.78±0.32)mm,两组差异均有统计学意义(P<0.05)。
结论 超声引导下复方倍他米松注射联合针刀松解治疗拇指屈指肌腱狭窄性腱鞘炎有效率高,患指活动恢复早,临床效果优于单用药物注射治疗。
Abstract:Objective To explore the clinical efficacy of ultrasound-guided compound betamethasone combined with needle knife therapy in the treatment of stenotic tenosynovitis of thumb flexor tendon.
Methods A total of 62 patients with stenotic tenosynovitis of thumb flexor tendon in Linyi People's Hospital from July 2020 to April 2021 were randomly divided into observation group and control group, with 31 cases in each group. The control group was treated with drug injection under the guidance of ultrasound, and the observation group was treated with needle knife therapy on the basis of the control group. VAS score, Quinnell grade and clinical efficacy of the two groups were evaluated, and the changes of tendon were observed.
Results Finally, there were 29 cases in the observation group and 29 cases in the control group. Compared with 1 week after treatment, the VAS score of the observation group decreased significantly [(1.97±1.24) points vs (2.83±0.93) points, P<0.05], and that of the control group decreased significantly [(3.07±1.19) points vs (3.66±0.86) points, P<0.05], and the VAS score of the observation group was significantly lower than that of the control group at 1 month after treatment (P<0.05). The Quinnell grade of the observation group was better than that of the control group immediately after treatment and 1 month after treatment (P<0.05). One month after treatment, the total effective rate was 100% in the observation group and 79.31% in the control group. The thickness of tendon in the observation group was (3.60±0.30) mm and that in the control group was (3.78±0.32) mm. There was significant difference between the two groups (P<0.05).
Conclusion Ultrasound-guided compound betamethasone injection combined with needle knife release in the treatment of stenotic tenosynovitis of thumb flexor tendon has high effective rate, early recovery of affected finger activity, and the clinical effect is better than that of drug injection alone.
文章编号: 中图分类号:R686.1 文献标志码:B
基金项目:山东省中医药科技发展计划项目(2019-0862);临沂市人民医院研究生培养基金(YJS2021044)
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