肌骨超声引导局部麻醉下高频电刀治疗跗骨窦综合症的疗效研究

Efficacy Study of High-Frequency Electrocautery under Ultrasound-Guided Local Anesthesia for the Treatment of Tarsal Canal Syndrome

摘要: 目的：探讨肌骨超声引导局部麻醉下高频电刀定点松解联合中医综合疗法治疗跗骨窦综合征的临床疗效。方法：选取2023年1月至2024年1月于眉山市中医医院就诊的跗骨窦综合征患者60例，按照随机分组原则分为观察组与对照组，各30例。观察组接受肌骨超声引导局部麻醉下高频电刀定点松解联合中医综合疗法；对照组接受中医综合疗法。比较两组治疗前后疼痛视觉模拟评分(VAS)、AOFAS踝–后足功能评分及临床疗效。结果：治疗前两组各项指标差异均无统计学意义(P > 0.05)，基线具有可比性。治疗后，观察组在各时间点的AOFAS评分均显著高于对照组，VAS评分显著低于对照组(均P < 0.01)，提示其在改善踝–后足功能及缓解疼痛方面更具优势。临床疗效方面，观察组痊愈率明显高于对照组(63.33% vs 33.33%, P = 0.048 < 0.05)。结论：肌骨超声引导局部麻醉下高频电刀定点松解联合中医综合疗法可显著缓解跗骨窦综合征患者的疼痛并改善踝–后足功能，具有较高的临床应用价值，为该病的微创化治疗提供了有力的理论与实践依据。

Abstract: Objective: To explore the clinical efficacy of musculoskeletal ultrasound-guided local anesthesia with high-frequency electrosurgical dissection combined with traditional Chinese medicine comprehensive therapy in the treatment of tarsal sinus syndrome. Methods: Sixty patients with tarsal sinus syndrome who visited Meishan City Hospital of Traditional Chinese Medicine from January 2023 to January 2024 were selected and randomly divided into the observation group and the control group, with 30 cases in each group. The observation group received musculoskeletal ultrasound-guided local anesthesia with high-frequency electrosurgical dissection combined with traditional Chinese medicine comprehensive therapy; the control group received traditional Chinese medicine comprehensive therapy. The visual analogue scale (VAS) for pain, AOFAS ankle-hindfoot function score, and clinical efficacy were compared between the two groups before and after treatment. Results: Before treatment, there were no statistically significant differences in all indicators between the two groups (P > 0.05), and the baseline was comparable. After treatment, the AOFAS score of the observation group at each time point was significantly higher than that of the control group, and the VAS score was significantly lower than that of the control group (all P < 0.01), suggesting that it has more advantages in improving ankle-hindfoot function and relieving pain. In terms of clinical efficacy, the cure rate of the observation group was significantly higher than that of the control group (63.33% vs 33.33%, P = 0.048 < 0.05). Conclusion: Musculoskeletal ultrasound-guided local anesthesia with high-frequency electrosurgical dissection combined with traditional Chinese medicine comprehensive therapy can significantly relieve the pain of patients with tarsal sinus syndrome and improve the ankle-hindfoot function, and has high clinical application value, providing a powerful theoretical and practical basis for the minimally invasive treatment of this disease.