小针刀微创手术与传统手术治疗狭窄性腱鞘炎的疗效对比研究

Comparative Study of the Efficacy for the Treatment of Stenosing Tenosynovitis by Small Needle Knife Minimally Invasive Surgery and Traditional Surgery

目的:探讨小针刀微创手术与在治疗狭窄性腱鞘炎上的有效性和安全性,评价其临床应用价值。方法:对狭窄性腱鞘炎患者210例进行回顾性分析并按数字表法随机分为两组。其中,对照组的103例患者采用传统的手术方法进行治疗,而观察组的107例患者则采用小针刀微创手术进行治疗。观察两组患者的手术时间和术中出血量的差异,并应用视觉模拟评分法(VAS)评测两组患者治疗前后的疼痛程度,比较两种手术方法的临床疗效以及并发症的发生情况。结果:观察组患者的手术时间和术中出血量均明显短(少)于对照组,治疗后疼痛减轻程度也显著高于对照组;并且,观察组的临床总有效率为95.33%,明显高于对照组的81.55%,数据分析发现其差异均具有统计学意义(P<0.05)。但观察组并发症的发生率为13.08%,而对照组则为12.62%,可见其差异无统计学意义(P>0.05)。结论:小针刀微创手术在治疗狭窄性腱鞘炎上有其独特的优点,具有创伤小、患者痛苦少以及术后恢复快等优点,并且疗效确切,安全性高,值得在临床上推广应用。

Objective： To explore the efficacy and safety for the treatment of stenosing tenosynovitis by small needle knife minimally invasive surgery and evaluate its clinical value. Methods： Select 210 patients with stenosing tenosynovitis over the period from December 2011 to December 2012 in our hospital and randomly divide them into two groups based on the method of the number table. Among them,103 patients in the control group were treated with the traditional surgical method; While the 107 patients in the observation group were treated with small meedle knife minimally invasive surgery. Observe the differences of operative time and the blood loss in two groups＇ patients. Before and after treatments,use the visual analog scale（ VAS） to evaluate the degree of pain. And compare the clinical efficacy as well as the occurrence of complications of two surgical methods. Results： The operative time and the blood loss in the observation group were significantly shorter（ less） than those in the control group. After treatment,its degree of pain relief was also significantly higher than that in the control group. What＇s more,the total effective rate of the observation group was 95. 33%,which was significantly higher than 81. 55% of the control group,and the differences were statistically significant（ P〈0. 05）. But the incidence of complications of the observation group was 13. 08% and the control group was 12. 62%,the differences were no statistically significant（ P〉 0. 05）. Conclusion： Small needle knife minimally invasive surgery used in the treatment of stenosing tenosynovitis has its unique advantages and was with less trauma,less pain and faster recovery. It is effective and safe which is worthy of use in clinical practice.