肌骨超声引导下5ml注射器针头松解治疗腕关节融合术术后肌腱粘连患者的临床效果

Clinical Efficacy of 5 ml Syringe Needle Guided by Musculoskeletal Ultrasound in the Loosening Treatment of Postoperative Tendon Adhesion in Patients with Wrist Joint Fusion Surgery

目的探讨肌骨超声引导下5 ml注射器针头松解治疗腕关节融合术术后肌腱粘连患者的临床效果。方法采用随机数字表法将2021年1月至2023年1月于联勤保障部队第九六六医院行腕关节融合术的60例患者分为两组,每组30例。对照组给予常规物理治疗,试验组在此基础上采用肌骨超声引导下5 ml注射器针头松解,均连续治疗1周。比较两组治疗后肌腱粘连情况,治疗前后手部灵活度[采用明尼苏达手灵巧度评定量表(MMDT)评估]、疼痛程度[采用视觉模拟评分法(VAS)评估]、手指总主动活动度(TAM)及手部握力、捏力水平。结果治疗后,试验组总粘连率低于对照组,差异有统计学意义(P<0.05)。治疗前,两组放置、翻转时间比较,差异无统计学意义(P>0.05);治疗后,两组放置、翻转时间均短于同组治疗前,且试验组短于对照组,差异均有统计学意义(P<0.05)。治疗前,两组VAS评分、TAM及手部握力、捏力比较,差异均无统计学意义(P>0.05);治疗后,两组VAS评分均低于同组治疗前,TAM及手部握力、捏力均高于同组治疗前,且试验组VAS评分低于对照组,TAM及手部握力、捏力均高于对照组,差异均有统计学意义(P<0.05)。结论肌骨超声引导下5ml注射器针头松解治疗腕关节融合术术后肌腱粘连患者的效果显著,利于减轻肌腱粘连和疼痛水平,提高手部灵活度和活动度,促进患者手部功能恢复。

Objective To explore the clinical efficacy of 5 ml syringe needle guided by musculoskeletal ultrasound in the loosening treatment of postoperative tendon adhesion in patients with wrist joint fusion surgery.Methods Sixty patients who underwent wrist joint fusion surgery at the 966th Hospital of the Joint Logistic Support Force from January 2021 to January 2023 were divided into two groups used a random number table method,with 30 patients in each group.Conventional physical therapy was used in the control group,and on this basis,loosening therapy was used in the experimental group with a 5 ml syringe needle guided by musculoskeletal ultrasound,with continuous treatment for all patients for one week.The adhesion of tendons after treatment and hand flexibility using the Minnesota manual dexterity test(MMDT),pain severity using Visual Analog Scale(VAS),total action motion(TAM),and hand grip and pinch strength levels before and after treatment were compared between the two groups.Results After treatment,the total adhesion rate in the experimental group was lower than that in the control group,with a statistically significant difference(P<0.05).Before treatment,there were no statistically significant differences in placement and turnover time between the two groups(P>0.05);After treatment,the placement and turnover times of the two groups were shorter than before treatment in the same group,and the experimental group was shorter than the control group,with statistically significant differences(P<0.05).Before treatment,there were no statistically significant differences in VAS score,TAM,and hand grip and pinch strength between the two groups(P>0.05);After treatment,the VAS scores of both groups were lower than those of the same group before treatment,and the TAM and hand grip and pinch strength were higher than those of the same group before treatment.In addition,the VAS scores of the experimental group were lower than those of the control group,and the TAM and hand grip and pinch strength were higher than those of the control group,with statistical significance(P<0.05).Conclusion The effect of using a 5 ml syringe needle with the guidance of musculoskeletal ultrasound in treatment of postoperative tendon adhesion in patients with wrist joint fusion surgery is significant,which is beneficial for reducing tendon adhesion and pain levels,improving hand flexibility and mobility,and promoting patient hand functional recovery.