水针刀配合注射用骨肽治疗跟痛症疗效观察

Efficacy of water knife needle release combined with bone peptide injection for heel pain

目的观察水针刀松解术配合注射用骨肽治疗跟痛症的疗效。方法2009年2月～2009年9月，对35例跟痛症患者采用局麻下行水针刀松解术配合注射用骨肽治疗，全部为单侧足跟，年龄为23~68岁，平均45岁，术中对痛点进行松解．自水针刀空芯注入注射用骨肽，治疗1后观察其疗效，决定是否行再次治疗，治疗次数≤3次，3次无效放弃治疗。术后参照中药新药临床指导原则中尼莫地平法评定其疗效，观察有无其他并发症。结果经半年随访，本组优28例，良3例，好转2例，无效2例，总有效率为94．2％，随访未发生其他不良反应。结论水针刀松解术配合注射用骨肽治疗跟痛症有较好的疗效．符合以人为本的微创医学原则。

Objective To evaluate the efficacy of water knife needle release combined with bone peptide injection in the management of heel pain. Methods Thirty-five patients with unilateral heel pain were treated with water knife needle release and bone peptide injection under local anesthesia. The deep tissue with the tenderness was released in the operation, and the result was evaluated 1 week aiter the surgery to decide whether to conduct another surgery. No more than 3 treatment sessions were administered. The efficacy was evaluated according to nimodipine method by the principles of Chinese clinical drug guidance, and the complications of the surgery were observed. Results Six months after the surgery, 28 cases had excellent results, 3 had good outcomes, 2 showed improvement, and 2 failed to respond favorably, with a rate of good and excellent result of 94.2%. No adverse side effect was recorded in the follow up of the patients. Conclusion Water needle knife release combined with bone Deptide iniection can nroduce a good result in the treatment of heel nain.