鞘内注射加针刀治疗指屈肌腱狭窄性腱鞘炎疗效观察

Observation on Therapeutic Effectiveness of Intrathecal Injection plus Needle and Scalpel on Strictured Tenosynovitis of Finger Flexor Tendon

目的探讨注射加针刀治疗指屈肌腱狭窄性腱鞘炎疗效。方法对100例确诊为指屈肌腱狭窄性腱鞘炎患者随机分为注射组38例、针刀组32例和组合组30例,分别进行单用注射、单用针刀和两者组合治疗。结果随访2周-6个月,组合组近期治愈率为96.67%,优于注射组的76.32%,针刀组的65.63%（χ2=9.26,P〈0.01）差异有显著意义。治愈病例中组合组复发率低于注射组、针刀组（χ2=12.66,P〈0.005）差异有显著意义。结论注射加针刀治疗指屈肌腱狭窄性腱鞘炎疗效可靠,安全简便,值得推广。

Objective To discuss the therapeutic cffectiveness of intrathecal injection plus needle and scalpel on strictured tenosynovitis of finger flexor tendon. Methods A total of 100 patients with strictured tenosynovitis of finger flexor tendon were randomized into intrathecal injection group （ n = 38 ） , needle and scalpel group （ n = 32 ） , and comprehensive group （ n =30） which were treated with the combination of intrathecal injection, needle and scalpel. Results The healing rate of the comprehensive group was 96.67%, significantly higher than that of the injection group （ 76.32% ） or that of the needle and scalpel group （ 65.63% ） according to the follow-up of from two weeks to six months （χ2=9.26, P〈0.01 ）. Among those who were healed up, the relapse rate was significantly lower in the comprehensivc group than in the injcction group or in the needle and scalpel group （χ2 = 12.66, P 〈 0. 005 ）. Conclusion With reliability, safety and convenience, intrathecal injection plus needle and scalpel is worth spreading for the treatment of strictured tenosynovitis of finger flexor tendon.