| 朱婷,姜伟,王珂,殷姗姗.超声引导下药物注射联合针刀治疗桡骨茎突狭窄性腱鞘炎[J].中国介入影像与治疗学,2018,15(8):465-468 |
| 超声引导下药物注射联合针刀治疗桡骨茎突狭窄性腱鞘炎 |
| Ultrasound-guided drug injection and acupotomy intreatment of De Quervain disease |
| 投稿时间：2018-01-13 修订日期：2018-04-25 |
| DOI：10.13929/j.1672-8475.201801021 |
| 中文关键词: 桡骨茎突狭窄性腱鞘炎 超声检查 引导 药物 注射 针刀 |
| 英文关键词:De Quervain disease Ultrasonography Guided Drug Injections Acupotomy |
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| 中文摘要: |
| 目的 探讨超声引导下药物注射联合针刀治疗桡骨茎突狭窄性腱鞘炎的临床价值。方法 将52例桡骨茎突狭窄性腱鞘炎患者随机分为超声组和对照组，每组各26例。对超声组先行超声检查，观察桡骨茎突处的拇长展肌和拇短伸肌肌腱、腱鞘改变及毗邻关系；选择最佳穿刺点，于实时超声引导下行药物注射联合针刀治疗。对照组根据触诊定位进行药物注射及针刀治疗治疗。采用视觉模拟评分法（VAS）评估患者疼痛程度，并采用Quinnell评分评估腕关节功能，并进行统计学分析。结果 超声组与对照组术前VAS评分、Quinnell评分差异均无统计学意义（P均>0.05）。对超声组均成功完成超声引导下药物注射联合针刀治疗，对照组亦均按触诊定位完成药物注射及针刀治疗。术后1周，超声组及对照组VAS评分、Quinnell评分均明显低于术前（P均<0.05），且超声组VAS评分、Quinnell评分均明显低于对照组。结论 超声引导下药物注射联合针刀治疗桡骨茎突狭窄性腱鞘炎疗效确切。 |
| 英文摘要: |
| Objective To explore the clinical application value of ultrasound-guided drug injection and acupotomy for De Quervain disease.Methods Fifty-two patients with De Quervain disease were randomly divided into ultrasound group and control group(each n=26). Ultrasonography was used to observe the changes and adjacent relationship of abductor pollicis longus and extensor pollicis brevis tendons and tendon sheaths in styloid process of radius of patients in ultrasound group. Then the optimal puncture point was chosen based on ultrasonic images. Drug injection and acupotomy were performed under real time ultrasound guidance. Patients in control group were treated with drug injection and acupotomy under the guidance of palpation. The pain was assessed with visual analogue scale (VAS). The wrist joint function was assessed with Quinnell scoring. All the data were statistically analyzed.Results There was no statistical difference of VAS scores and the Quinnell scores between the two groups before treatment (both P>0.05).Ultrasound-guided drug injection and acupotomy were successfully completed in ultrasound group. Drug injection and acupotomy were also successfully under the guidance of palpation in control group. In both two groups, one week after treatment,VAS scores and the Quinnell scores statistically decreased compared with those before treatment(both P<0.05). VAS scores and the Quinnell scores of ultrasound group statistically decreased compared with those of control group one week after treatment (all P<0.05).Conclusion Ultrasound-guided drug injection and acupotomy treatment are effective for treatment of De Quervain disease. |
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