针刀治疗指屈肌腱腱鞘炎的临床疗效

Clinical Efficacy on Tenosynovitis of Hand Flexor Tendos Treated with Acupotomy

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21 d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。

Objective To observe the clinical efficacy on tenosynovitis of hand flexor tendos（ THFT） treated with acupotomy. Methods One hundred and twenty- five cases of THFT at the middle and late stages were 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 released with acupotomy. Results The curative rate（ 92. 18%） and the total effective rate（ 96. 87%）, were higher obviously than 42. 62% and 90. 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 apparently than those（ 34. 42%,72. 13%） in the control respectively（ P 0. 05）. Conclusion Acupotomy achieves the better clinical efficacy on THFT at the middle and late stages.