| 壮健,张超,颜华伦,黄雪春,李晓琴,朱韦文.超声引导下经皮针刀松解联合类固醇激素注射治疗扳机指[J].中国医学影像技术,2023,39(11):1615~1618 |
| 超声引导下经皮针刀松解联合类固醇激素注射治疗扳机指 |
| Ultrasound-guided percutaneous needle knife release combined with steroid hormone injection for treating trigger finger |
| 投稿时间：2023-04-01 修订日期：2023-06-09 |
| DOI：10.13929/j.issn.1003-3289.2023.11.004 |
| 中文关键词: 扳机指症 超声检查 针刀疗法 类固醇激素 |
| 英文关键词:trigger finger disorder ultrasonography akupotomye treatment steroid hormone |
| 基金项目: |
|
| 摘要点击次数: 614 |
| 全文下载次数: 275 |
| 中文摘要: |
| 目的 评估超声引导下经皮针刀松解联合类固醇激素注射治疗扳机指(TF)短期疗效。方法 纳入79例TF患者,分为联合组(n=48,接受超声引导下经皮针刀松解及类固醇激素注射治疗)及松解组(n=31,仅接受超声引导下经皮针刀松解);比较治疗前、治疗后2周及4周组间Quinnell分级、视觉模拟评分法(VAS)评分及治疗满意度等差异。结果 2组患者治疗前Quinnell分级及VAS评分差异均无统计学意义(P均＞0.05)。治疗后2周,联合组Quinnell分级和VAS评分均低于(P均＜0.05)、且Quinnell分级较治疗前降低程度则大于松解组(P＜0.05);组间VAS降低分数差异无统计学意义(P＞0.05);联合组治疗满意度高于松解组(97.92% vs. 83.87%,P＜0.05)。治疗后4周,2组患者手指屈伸功能均恢复至正常,无弹响或绞索症状,临床治愈率均为100%(79/79),治疗满意度均为100%(79/79),组间Quinnell分级和VAS评分均无显著差异(P均＞0.05);组间Quinnell分级、VAS评分较治疗前降低程度及分数差异均无统计学意义(P均＞0.05)。治疗后4周内患指均无感染,指间神经、血管及指屈肌腱无明显损伤,无其他并发症。结论 超声引导下经皮针刀松解术可有效治疗TF;联合类固醇激素注射可早期明显改善手指关节功能、提高治疗满意度。 |
| 英文摘要: |
| Objective To observe the short-term efficacy of ultrasound-guided percutaneous needle knife release combined with steroid hormone injection for treating trigger finger (TF). Methods Totally 79 TF patients were enrolled and divided into combined group (n=48, underwent ultrasound-guided percutaneous needle release combined with steroid hormone injection) and release group (n=31, underwent only ultrasound-guided percutaneous needle release). The Quinnell grade, visual analog scale (VAS) and treatment satisfaction before treatment, 2 and 4 weeks after treatment were compared between groups. Results Before treatment, no significant difference of Quinnell grade nor VAS scores was found between groups (both P＞0.05). Two weeks after treatment, Quinnell grade and VAS scores in combined group were lower than(both P＜0.05), and the reduced Quinnell grade in combined group was greater than in release group (P＜0.05). No significant difference of reduction of VAS score was found between groups (P＞0.05), while the treatment satisfaction in combination group was better than in release group (97.92% vs. 83.87%, P＜0.05). Four weeks after treatment, finger flexion and extension function returned to normal in both groups, no ringing nor strangulation symptom was observed. Both the clinical cure rate and the treatment satisfaction rate was 100% (79/79). There was no significant difference of Quinnell grade nor VAS score was found between groups (both P＞0.05), nor of reduced Quinnell grades or VAS scores compared to those before treatment (both P＞0.05). Within 4 weeks after treatment, all affected fingers were free from infection, no obvious damage of the interphalangeal nerve, blood vessels nor flexor tendons. Conclusion Ultrasound-guided percutaneous needle knife release was effective for treating TF. Combining with steroid hormone injection, both the function of envolved finger joint and treatment satisfaction could be significantly improved in early stage. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
