门诊微针刀微创治疗成人获得性手指狭窄性腱鞘炎的临床效果

Clinical effect of minimally invasive micro-needle knife in the treatment of adult acquired finger stenosis tenosynovitis in outpatient clinic

目的研究门诊微针刀微创治疗成人获得性手指狭窄性腱鞘炎的临床应用效果。方法选取2017年1月～2018年1月在我院接受治疗的成人获得性手指狭窄性腱鞘炎72例患者,采用奇偶分组法分为对照组和实验组,每组各36例。对照组接受传统开放性手术治疗,实验组接受微针刀微创治疗,观察两组治疗前后的手指功能分级(Quinnell分级)、手术指标、疼痛评分和并发症。结果治疗后,两组的Quinnell分级高于本组治疗前(P<0.05);治疗后,实验组的Quinnell分级高于对照组,差异均有统计学意义(P<0.05);实验组的疼痛评分低于对照组(P<0.05);实验组并发症总发生率为5.56%,低于对照组(22.22%),差异有统计学意义(P<0.05)。结论成人获得性手指狭窄性腱鞘炎患者接受微针刀微创治疗,能有效的帮助患者改善病情,减轻患者的疼痛感,值得临床推广应用。

Objective To study the clinical application effect of minimally invasive micro-needle knife in the treatment of adult acquired finger stenosis tenosynovitis in outpatient clinic.Methods From January 2017 to January 2018,72 patients with adult-acquired finger stenosis tenosynovitis treated in our hospital were enrolled.They were divided into control groups and experimental group by odd/even number,36 cases in each group.Patients in the control group were provided with traditional open surgery,while in the experimental group,they were performed with minimally invasive micro-needle knife.The functional grading(Quinnell grading)of fingers before and after treatment,surgical index,pain score,and complications in the two groups were observed.Results After treatment,the Quinnell grading of the two groups were higher than those of before treatment,with statistical significance(P<0.05).After treatment,the Quinnell grading of the experimental group was higher than that of the control group with significant difference(P<0.05).The pain score of the experimental group was lower than that of the control group(P<0.05).The total incidence of complications of the experimental group was 5.56%,which was lower than that of the control group accounting for 22.22%,with significant difference(P<0.05).Conclusion For adult patients with acquired finger stenosis tenosynovitis,micro-needle knife as a minimally invasive treatment can effectively improve patients′condition and reduce their suffering,which is worthy of promotion and application.