综合疗法治疗前臂交叉综合征

Comprehensive Treatment for Intersection Syndrome of the Forearm

目的 观察综合疗法治疗前臂交叉综合征的疗效.方法 2006年7月～2010年8月综合采用口服止痛药,局部热敷、手法按摩及外敷止痛凝胶和限制腕部活动疗法治疗前臂交叉综合征患者34例,男21例,女13例;年龄20～53岁,平均33.9±8.3岁.评价内容包括疼痛主观感受,视觉模拟评分（visual analog scale,VAS）和软组织彩超.结果 首诊后1月随访,32例患者主诉完全无痛,VAS评分0分;1例疼痛缓解,VAS评分3分.1例疼痛无明显缓解,VAS评分5分.改善率结果为：治愈32例,有效1例,无效1例.20例患者1月后随访时患处软组织彩超示肌腱周围水肿消失.结论 采取综合治疗并加强患者治疗依从性是治疗前臂交叉综合征的一种有效方法.

Obiective To observe the efficacy of the comprehensive treatment for intersection syndrome of the forearm. Methods From Jule 2006 to August 2010,34 cases of intersection syndrome of the forearm were treated by comprehensive therapy,which included oral nonstereidal anti- infammatory drugs,massage,local formentation,embrocating acesodyne gel and limitation of wrist activity. 21 of these patients were men and 13 were women.Age ranged from 20 to 53 years,as a average of 33.9±8.3years. Assessment criteria included subjective assessment of pain, visual analog scale （VAS） and soft tissue ultrosonography. Results The follow-up periods of all of cases were 1 month after the first consultation. 32 cases had no pain, VAS was 0;Pain was smoothed in 1 case,VAS was 3;1 case had no pain relief, VAS was 5. According to improvement rate,there were healed in 32 cases, effective in 1 case and invalid in 1 case.The result of ultrosonography showed, in 20 patients of all of cases, no soft tissue swelling around tendon was finding.Conclusion Comprehensive therapy accompany by enhancing treatment compliance is an effective method for the treatment of intersection syndrome of the forearm.