松解术治疗慢性软组织损伤108例（Lysis for 108 cases of chronic soft tissue injury）.doc

松解术治疗慢性软组织损伤108例（Lysis for 108 cases of chronic soft tissue injury） Lysis for 108 cases of chronic soft tissue injury Update Date: 2009-03-24 click: Author: Xiao Tinggang Keyword: soft tissue injury; chronic; relaxation Since 1983, 108 cases of chronic soft tissue injuries have been treated with neurolysis, and satisfactory results have been obtained. 1 clinical information 108 cases were all outpatients, including 66 males and 42 females. The oldest was 76 years old and the youngest was 36 years old. The average age was 54 years, the longest course was 5 years, the shortest was 3 months, with an average of 1.5 years. Periarthritis of shoulder in 37 cases; 27 cases of humeral epicondylitis; muscle flexor tenosynovitis in 7 cases, 19 cases of knee joint ligament injury; iliotibial tract injury in 12 cases; 6 cases of chronic ankle sprain; the most cases have local injury history. 108 cases showed joint pain, dull pain, swelling, tired, slow, or by the acute injury to chronic pain. X-ray and other examinations showed no dislocation and fracture of the joint, hyperosteogeny and bony spur formation. Blood tests exclude rheumatoid, gout, and other connective tissue lesions. Except for acute soft tissue injuries or soft tissue injuries caused by bacterial infection. Diagnostic criteria for soft tissue injuries [1, 2]. 2 treatment 2.1 instruments The operation with a small knife 1, beak straight or curved forceps (according to the lesion depth selection forceps size) 1. 2.2 specific methods The most obvious local tenderness (the main lesion) as the operating point. To determine the operating point, the local routine disinfection, with sterile towels, 1% ~ 2 ~ 2% procaine 6ml local anesthesia, anesthesia depth to the periosteum. After the success of anesthesia, with a small knife to stab them spots on the skin with a small mouth, a width of about 0.3cm, through the whole skin. Then the small incision line forceps to deep lesions, to make longitudinal separation by the 3~5 m