小儿手部屈肌腱鞘炎的保守治疗

Conservative management of pediatric trigger thumb and fingers used steroid injection

目的研究小儿手部屈肌腱鞘炎保守治疗的可行性。方法本文收集了25例29指的小儿手部屈肌腱鞘炎。所有病例采用局部激素注射,密切临床观察。结果全部25例应用局部激素注射的小儿获得6个月到8年的随访(平均18月)。80%治愈;20%症状消失,尚可以摸到小硬块。没有1例需要手术治疗。讨论应用激素局部注射的保守疗法是小儿手部屈肌腱鞘炎是一种有效的治疗方法。

Objective To investigate feasibility of conservative treatment on hand flexor tenosynovitis of children. Methods Twenty-nine consecutive fingers of 25 children scheduled for management of diprospan injections were included in this cohort. Twenty-two patients were treated by using diprospan intrathecal injection and other three patients using triamcinolone acetonide, Injection method was once a week/one week and totally three time in one course. Results The follow-up data was obtained on all consecutive patients and information was collected at an average of 1.5 year （6 months-8 years） after injection. The excellent rate was 80% and the good result was 20% in which there was an indurate node in the hand. None was performed surgical management, Conclusion Conservative treatment of pediatric trigger thumb and fingers used steroid injection is an effective method.