针刀治疗盆壁通道狭窄症30例

Observation on Knife Needle in Treating 32 Cases of Stenosis of Sciatic Nerve at Pelvic Walls Channels

目的比较针刀和针灸治疗坐骨神经盆壁通道狭窄症的疗效。方法将60例患者随机分为2组,每组30例,针刀组采用针刀闭合性手术,依照前期解剖观测结果所设计的手术入路行针刀剥离术;针灸组取患侧环跳、秩边、居髎、委中、阿是穴,施以普通针刺,使用痛阈测定仪分别测量2组治疗过程中的痛阈变化。结果针刀组总有效率为96.67%,针灸组为80%,针刀组优于针灸组(P<0.01);针刀组痛阈值平均上升幅度优于针灸组(P<0.01)。结论针刀治疗坐骨神经盆壁通道狭窄症,能使痛阈值升高,临床症状改善,提高患者的生活质量。

Objective To compare the curative effect between knife needle and acupuncture for the treatment of stenosis of sciatic nerve at pelvic walls channels. Methods 60 patients were divided randomly into two groups, 30 cases were treated by closed operation of knife needle decollement which was performed according to the surgical approach from the earlier design, and other 30 eases were treated by acupuncturing Huantiao （GB30）, Zhibian （BLS0）, Juliao （GB29）, Weizhong （BL40）, Ashi point at the affected side. The pain threshold changes were measured in the two groups. Results The total effective rates were 96.67% in knife-needle group and 80.00% in acupuncture group respectively, there was a significant difference between them （P〈0.01）, the knife needle group was superior to acupuncture group in the average rising amplitude of pain threshold （P〈0.01）. Conclusion Knife needle can increase the pain threshold, relieve the clinical symptom effectively and improve quality of life of stenosis of sciatic nerve at pelvic walls channels.