狭窄性腱鞘炎针刀治疗失败原因及对策分析

Analysis of the causes of treatment failure and corresponding strategies of needle knife in treating stenosing tenosynovitis

狭窄性腱鞘炎是临床的常见病、多发病,针刀在该病的治疗中大有用武之地,临床疗效确切,但也常有针刀治疗失败病例报道。本文针对常见的治疗失败现象,如治疗后弹响、血肿、麻木、硬结、肌腱无力或屈伸不能,给出了应对策略,如熟悉解剖、准确定位、动态定位、超声引导、把握切割度、术后及时功能锻炼、合理使用激素等。

Stenosing tenosynovitis is a clinical common and frequently-occurring disease. Needle knife is extensively used in treating stenosing tenosynovitis and the clinical effect is approved, while there are still some reports about failure treatment of needle knife. Aiming at common treatment failure phenomenons, such as snapping sound of joint after treatment, hematoma, numbness, scleroma, weakness of muscle-tendon or inhibited bending and stretching, this paper puts forward some coping strategies, such as familiar with anatomy, accurate positioning, dynamic positioning, ultrasound guidance, grasp of dissection degree, timely functional training after operation, rational use of hormone drugs,and so on.