超声引导V型针刀斜刺治疗指屈肌腱狭窄性腱鞘炎的疗效观察

Observation on the Efficacy of Ultrasound-Guided V-Shaped Needle-Knife Oblique Puncture in the Treatment of Stenosing Tenosynovitis of the Finger Flexor Tendons

摘要: 目的：本研究通过对屈指肌腱狭窄性腱鞘炎患者进行超声引导V型针刀斜刺治疗，比较治疗前后VAS、Quinnell分级评分以及腱鞘厚度的变化情况评估治疗效果。方法：采用Excel随机表格法将72例屈指肌腱狭窄性腱鞘炎患者分为试验组和对照组。试验组：35例(超声引导V型针刀治疗，试验组有1例失访)；对照组：34例(常规针刀治疗，对照组有2例失访)。结果：在治疗后的第1周和第3周，两组患者的VAS评分、腱鞘厚度及Quinnell分级均显示出下降趋势，并且这种差异具有统计学意义(p < 0.05)。特别值得关注的是，试验组在这些指标上均低于对照组；尤其在第3周，试验组的VAS评分显著降低(p < 0.05)，这进一步证实了超声引导下V型针刀在治疗屈指肌腱狭窄性腱鞘炎方面的优越疗效(p < 0.05)。试验组的有效率达到94.1%，明显高于对照组的80% (p < 0.05)。术后随访并未发现并发症出现。结论：超声引导下的V型针刀治疗是一种有效且安全的选择，适用于指屈肌腱狭窄性腱鞘炎患者。

Abstract: Purpose: This study uses ultrasound-guided V-shaped needle-knife oblique puncture treatment in patients with stenosing tenosynovitis of the flexor tendon and compares the changes in VAS, Quinnell grade scores, and tendon sheath thickness before and after treatment to evaluate the treatment effect. Methods: 72 patients with stenosing tenosynovitis of the flexor tendon were divided into the experimental group and the control group using the Excel random table method. Experimental group: 35 cases (ultrasound-guided V-shaped acupuncture treatment, 1 case in the experimental group was lost to follow-up); Control group: 34 cases (conventional acupotomy treatment, 2 cases in the control group were lost to follow-up). Results: In the 1st and 3rd weeks after treatment, the VAS scores, tendon sheath thickness, and Quinnell grade of the two groups of patients all showed a downward trend, and this difference was statistically significant (p < 0.05). It is particularly noteworthy that the experimental group was lower than the control group in these indicators; especially in the 3rd week, the VAS score of the experimental group was significantly lower (p < 0.05), which further confirmed that the V-shaped needle knife under ultrasound guidance can effectively Superior efficacy in the treatment of stenosing tenosynovitis of the flexor tendon (p < 0.05). The effective rate of the experimental group reached 94.1%, which was significantly higher than the 80% of the control group (p < 0.05). No complications were found during postoperative follow-up. Conclusion: Ultrasound-guided V-shaped acupuncture treatment is an effective and safe option for patients with stenosing tenosynovitis of the digital flexor tendon.