超声介入联合倍他米松治疗指屈肌腱腱鞘炎的效果观察.docxVIP

超声介入联合倍他米松治疗指屈肌腱腱鞘炎的效果观察 　　[摘要]目的探討超声介入联合倍他米松治疗指屈肌腱腱鞘炎的临床效果。方法选取2017年6月～2019年6月我院收治的86例指屈肌腱腱鞘炎患者，随机数字表法分为观察组与对照组，各43例，对照组在滑膜内注射倍他米松注射液，观察组在对照组的基础上采用超声介入治疗，采用上肢功能障碍评定量表（dash）、疼痛自评量表（vas）评价两组治疗前后的治疗效果，超声检测治疗前后的肌腱横截面直径、肌腱厚度。结果观察组治疗总有效率显著高于对照组（p0.05）。两组患者治疗前vas、dash评分无显著差异（p0.05）;治疗后两组患者的vas、dash评分均有所降低（p0.05），但观察组的vas、dash评分降低程度优于对照组（p0.05）。两组患者治疗前肌腱横截面直径、肌腱厚度无显著差异（p0.05）;治疗后两组患者的肌腱横截面直径、肌腱厚度均有所减少（p0.05），但观察组的肌腱横截面直径、肌腱厚度减少程度优于对照组（p0.05）。结论超声介入联合倍他米松治疗指屈肌腱腱鞘炎效果显著。 　　[关键词]超声介入;倍他米松;指屈肌腱腱鞘炎;疼痛 　　[中图分类号]r686.1[文献标识码]b[文章编号]1673-9701（2020）07-0101-03 　　effectobservationofultrasoundinterventioncombinedwithbetamethasoneintreatmentoftenosynovitisoffingerflexortendon 　　jiangyang 　　departmentofphysicaldiagnosis，thecentralhospitalofjiamusicityinheilongjiangprovince，jiamusi154002，china 　　[abstract]objectivetoexploretheclinicalefficacyofultrasoundinterventioncombinedwithbetamethasoneinthetreatmentoftenosynovitisoffingerflexortendon.methodseighty-sixpatientswithtenosynovitisoffingerflexortendonadmittedtoourhospitalfromjune2017tojune2019wereselectedandrandomlydividedintotheobservationgroupandthecontrolgroup，with43patientsineachgroup.inthecontrolgroup，betamethasonewasinjectedintothesynovium.intheobservationgroup，ultrasoundinterventionwasperformedonthebasisofthetreatmentofthecontrolgroup.upperlimbdysfunctionratingscale（dash）andpainself-ratingscale（vas）wereusedtoevaluatethetherapeuticeffectoftwogroupsbeforeandaftertreatment.thecross-sectiondiameterandthicknessoftendonbeforeandaftertreatmentweredetectedbyultrasound.resultsthetotaleffectiverateoftreatmentintheobservationgroupwassignificantlyhigherthanthatinthecontrolgroup（p0.05）.therewerenosignificantdifferencesinthevasanddashscoresbetweenthetwogroupsbeforetreatment（p0.05）.aftertreatment，thevasanddashscoresinthetwogroupswerebothsignificantlydecreased（p0.05）.however，thedecreasedegreeofvasanddashscoresintheobservationgroupwasmorethanthatofthecontrolgroup（p0.05）.beforetreatment，therewerenosignificantdifferencesint