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目的观察针刀松解合并臀肌筋膜炎的顽固性跟痛症的临床疗效，探讨臀肌筋膜炎可能是顽固性跟痛症不可忽视的病因之一。方法78例跟痛症患者严格按照顽固性跟痛合症并臀肌筋膜炎的诊断标准纳入，诊断明确后均采用针刀松解臀肌筋膜炎治疗。结果全组病例经治疗，治愈33例，好转31例，无效14例，有效率82.1%。结论针刀松解臀肌筋膜炎治疗顽固性跟痛症有一定的疗效，故臀肌筋膜炎可能是顽固性跟痛症不可忽视的病因之一。“,”Objective To observe the clinical effect of needle knife relaxing on refractory calcanodynia with gluteal myofascitis and explore one of causes of refractory calcanodynia may be gluteal myofascitis.Methods Needle knife relaxing gluteal myofascitis therapy was given to 78 patients of refractory calcanodynia with gluteal myofascitis. Results 33 cases were cured,31 cases were improved and 14 cases were inefficiency.The effective rate was 82.1%.Conclusion The therapy of needle knife relaxing gluteal myofascitis therapy on refractory calcanodynia has certain effect and one of causes of refractory calcanodynia may be gluteal myofascitis.