钩刀松解法治疗屈指肌腱狭窄性腱鞘炎的病例对照研究

Case control study of hook needle knife for the treatment of stenosing tenovaginitis of flexor digitorum

目的:观察钩刀(钩形针刀)松解法治疗屈指肌腱狭窄性腱鞘炎的疗效及安全性。方法:自2007年9月至2008年9月门诊诊断为狭窄性腱鞘炎Ⅱ、Ⅲ期患者60例,其中女44例,男16例;年龄34～69岁,平均56岁;病程1个月～1年,平均3个月。分为治疗组和对照组,各30例,治疗组采用钩刀松解法,对照组采用封闭疗法治疗。6个月后随访,比较治疗后两组患者患指的活动痛、压痛、牵拉痛、屈指抗阻力痛情况,疼痛程度采用11点数字等级评分法(numerical rating scale,NRS)进行量化。结果:两组患者症状均改善,未出现不良反应,治疗组患指活动痛、压痛、牵拉痛、屈指抗阻力痛的改善好于对照组,临床疗效治疗组优于对照组。结论:钩刀松解法治疗屈指肌腱狭窄性腱鞘炎疗效肯定、微创、安全。

Objective：To investigate the effect and safety of the hook needle knife for the treatment of stenosing tenovaginitis of flexor digitorum.Methods：From September 2007 to September 2008,60 outpatients with stenosing tenovaginitis of flexor digitorum were randomized divided into the treatment group and the control group,30 cases in each group.Among the patients,44 patients were female and 16 patients were male,aged from 34 to 69 years,averaged 56 years,the duration of disease ranged from 1month to 1year,averaged 3 months.All the patients were treated with hook needle knife and local blocking respectively.The patients were followed up for 6 months,and the relief of moving pain,tender pain,stretching pain and resisting-pain were observed respectively.All the patients were evaluated by the symptoms with numerical rating scale.Results：The relief of moving pain,tender pain,stretching pain and resisting pain in the treatment group were significantly better than those of the control group;and the therapeutic effects of treatment group were better than those of the control group.Conclusion：The method for treating stenosing tenovaginitis of flexor digitorum with hook needle knife has advantages of definite effects,micro invasion and safety.