针刀治疗指屈肌腱腱鞘炎的临床疗效.pdfVIP

·508 · 世界中西医结合杂志2014年第9卷第5期 WorldJournal of Integrated Traditional and Western Medicine 2014，Vol.9，No.5 ·临床研究 · 针刀治疗指屈肌腱腱鞘炎的临床疗效 宁煜 郄淑燕 公维军 【摘要】 目的 观察针刀治疗指屈肌腱腱鞘炎的临床疗效。方法 把指屈肌腱腱鞘炎中后期 的患者125例随机分为治疗组64例和对照组61例。对照组采用局部药物封闭治疗，治疗组用针刀 松解狭窄的腱鞘。结果 治疗21d后治疗组治愈率（92.18% ）、总有效率（96.87% ）明显高于对照组 （治愈率42.62%、治愈率90.16% ）（P﹤0.05）。180 d后再次随访，治疗组的治愈率（95.13% ）与总 有效率（98.44% ）仍明显高于对照组（治愈率34.42%、总有效率72.13% ）（P ﹤0.05）。结论 针刀 治疗中后期指屈肌腱腱鞘炎具有较好的临床疗效。 【关键词】 指屈肌腱腱鞘炎；针刀；药物封闭 【中图分类号】R686.1 【文献标识码】A 【文章编号】1673-6613（2014）05-0508-03 ClinicalEfficacyonTenosynovitisofHandFlexorTendosTreatedwithAcupotomy NINGYu，XI Shu-yan，GONGWei-jun （Beijing Rehabilitation Hospital Affiliated to Capital Medical University，Beijing 100144） 【Abstract】 Objective To observe the clinical efficacy on tenosynovitis of hand flexor tendos （THFT）treatedwith acupotomy.Methods Onehundred andtwenty-five casesof THFT at themiddle and late stageswere randomized into a treatment group（64 cases）and a control group（61 cases）.In the control group，the local medicinal blockage therapy was adopted.In the treatment group，the narrowed tendon sheath was releasedwith acupotomy.Results The curative rate（92.18% ）and the total effective rate（96.87% ）， were higher obviously than42.62% and90.16% in the control respectively.In follow-up of 180 days，the curative rate（95.13% ）and the total effective rate（98.44% ）in the treatment group were still higher appar- ently than those（34.42%，72. 13% ）in the control respectively（P ﹤0.05 ）. Conclusion Acupotomy a- chieves the better clinical efficacy on THFT at the middle and late stages. 【Key words】 Tenosynovitis of Hand Flexor Tendos；Acupotomy；Medicinal Blockage 指屈肌腱腱鞘炎为临床常见病，治疗方法各 腱腱鞘炎患者125例，其中男11例，女114 例，年龄 异，疗效不一。目前针刀治疗此病文献报道较多， 35~75岁，以就诊先后编号，按随机数字表分为治 针刀闭合术方式及器械也不尽相同，如何应用针刀 疗组64例和对照组61例。两组患者治疗前一般资 松解学者之间差异很大［1-2］。西医医师针对针刀治 料比较差异无统计学意