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目的:观察超声引导下腱鞘穿刺注射皮质类固醇治疗狭窄性腱鞘炎效果。方法:选取我院收治的狭窄性腱鞘炎患者84例作为本次研究对象,选取时间均在2016年9月-2017年3月。经过所有患者同意后,采用单双号分组法将其简单分为2组,治疗组和常规组分别占42例。常规组狭窄性腱鞘炎患者使用闭合穿刺法注射等量药物治疗,治疗组患者在超声引导下腱鞘穿刺注射皮质类固醇治疗。对比2组狭窄性腱鞘炎患者的疼痛消失率以及治疗前后的疼痛程度(VAS)评分。结果:治疗后,治疗组患者的疼痛消失率显著优于常规组,P<0.05;治疗组患者的VAS评分为(4.56±1.27)分,常规组患者的VAS评分为(6.94±1.87)分。两组患者的疼痛程度均较治疗前缓解,且治疗组的缓解程度优于常规组,P<0.05。结论:在超声引导下腱鞘穿刺注射皮质类固醇用于治疗狭窄性腱鞘炎患者的效果较为可观,可缓解患者的疼痛,值得推广使用。
Objective: To observe the effect of ultrasound-guided tendon sheath injection of corticosteroid on stenosing tenosynovitis. Methods: Totally 84 cases of stenosing tenosynovitis treated in our hospital were selected as the study subjects. The selection time was from September 2016 to March 2017. After all the patients agreed, the use of single and double number grouping method will be divided into two groups, the treatment group and the conventional group accounted for 42 cases. Conventional group of patients with stenosing tenosynovitis were treated with the same amount of drug by closed puncture, while patients in the treatment group were treated with ultrasound guided cerclage injection of corticosteroid. The rate of pain disappearance in two groups of patients with stenosing tenosynovitis and the degree of pain before and after treatment (VAS) were compared. Results: After treatment, the pain disappearance rate in the treatment group was significantly better than that in the conventional group (P <0.05). The VAS score was (4.56 ± 1.27) in the treatment group and (6.94 ± 1.87) in the conventional group. The pain in both groups was relieved before treatment, and the degree of remission in the treatment group was better than that in the conventional group (P <0.05). CONCLUSIONS: Ultrasound guided prostatic sheath injection of corticosteroid is more effective in the treatment of patients with stenosing tenosynovitis. It can relieve the pain of patients and is worth popularizing.