玻璃酸钠注射治疗指屈肌腱狭窄性腱鞘炎的临床观察

Clinical Observation of Sodium Hyaluronate Injection in Treatment of Flexor Tendon Stenosing Tenosynovitis

目的观察腱鞘内注射玻璃酸钠治疗指屈肌腱狭窄性腱鞘炎的临床疗效。方法根据病情程度将20例、25指指屈肌腱狭窄性腱鞘炎分为Ⅰ～Ⅲ度,男5例,女15例,平均年龄23.6岁;拇指12指,示指2指,中指4指,环指6指,小指1指。均向指屈肌腱鞘内注射玻璃酸钠1个疗程,随访4～1 2月,平均随访6.5月。结果20例患者注射1针后症状明显缓解,疗程结束1周后19例症状完全消失,1例仍有轻度疼痛活动受限。结论玻璃酸钠治疗指屈肌腱腱鞘炎能取得很好的疗效。

Objective To observe the clinical efficacy of sodium hyaluronate injection in the treatment of flexor tendon stenosing tenosynovitis. Methods Twenty patients （25 digits） with flexor tendon stenosing tenosynovitis were divided into Ⅰ～Ⅲ grades according to the severity of the disease. There were 5 males and 15 females with an average age of 23.6 years. Twenty five fingers means 12 thumbs, 2 index fingers, 4 middle fingers, 6 ring fingers and 1 pinkie. A certain amount of sodium hyaluronate had been injected into all the flexor tendon sheaths for one course of treatment. All the patients were followed up with an average of 6.5 months ranged from 4 to 12 months. Results The symptoms of 20 patients were alleviated after a needle injection of sodium hyaluronate. In 19 cases the symptoms disappeared at the end of the week after one course of treatment. One case had still some restricted activities with mild pain. Conclusion A good curative effect can be obtained in the treatment of flexor tendon stenosing tenosynovitis with sodium hyaluronate injection.