摘要
目的探讨高频超声引导小针刀治疗腕管综合征(CTS)的应用价值。方法63例CTS患者,随机分为对照组(31例)与观察组(32例)。对照组使用小针刀治疗,观察组使用高频超声引导小针刀治疗。比较两组的临床疗效、视觉模拟评分法(VAS)评分、整体症状分数表(GSS)评分及超声测量指标(豌豆骨水平正中神经截面积、钩骨水平腕横韧带厚度、钩骨水平正中神经前后径)。结果观察组治疗优良率为93.75%,明显高于对照组的67.74%(P<0.05)。观察组治疗2、4周的VAS评分分别为(1.35±0.52)、(1.01±0.36)分,GSS评分分别为(15.25±2.04)、(8.97±1.63)分,明显低于对照组的(2.74±0.85)、(2.03±0.62)分与(20.09±2.31)、(15.72±2.06)分(P<0.05)。观察组治疗4周的豌豆骨水平正中神经截面积(0.10±0.01)cm^(2)、钩骨水平腕横韧带厚度(0.19±0.02)cm均小于对照组的(0.14±0.02)cm^(2)、(0.30±0.04)cm,钩骨水平正中神经前后径(0.24±0.04)cm大于对照组的(0.20±0.03)cm(P<0.05)。结论高频超声引导小针刀治疗CTS的应用效果显著,能有效解除正中神经受压,缓解手指及腕部症状,具有积极的临床意义。
Objective To investigate the application value of high-frequency ultrasound-guided small needle scalpel in the treatment of carpal tunnel syndrome(CTS).Methods A total of 63 patients with CTS were randomly divided into a control group(31 cases)and an observation group(32 cases).The control group received small-needle scalpel treatment,and the observation group received high-frequency ultrasound-guided smallneedle scalpel treatment.The clinical efficacy,visual analogue scale(VAS)score and global symptom score(GSS),and ultrasonic measurement indexes(median nerve cross-sectional area at the level of pea bone,the transverse carpal ligament thickness at the level of hamate,and the anterior and posterior diameter of median nerve at the level of hamate)of the two groups were compared.Results The excellent and good rate of the observation group was 93.75%,which was significantly higher than 67.74%of the control group(P<0.05).After 2 and 4 weeks of treatment,the VAS scores of the observation group were(1.35±0.52),(1.01±0.36)points,and the GSS scores were(15.25±2.04)and(8.97±1.63)points,which were significantly lower than the control group's(2.74±0.85),(2.03±0.62)points,and(20.09±2.31),(15.72±2.06)points(P<0.05).After 4 weeks of treatment,the median nerve cross-sectional area at the level of pea bone,the transverse carpal ligament thickness at the level of hamate were(0.10±0.01)cm^(2) and(0.19±0.02)cm in the observation group,which were smaller than(0.14±0.02)cm^(2) and(0.30±0.04)cm in the control group,and the anterior and posterior diameter of median nerve at the level of hamate of(0.24±0.04)cm was greater than(0.20±0.03)cm in the control group(P<0.05).Conclusion Highfrequency ultrasound guided small needle scalpel in the treatment of carpal tunnel syndrome has significant application effect,which can effectively relieve median nerve compression,relieve finger and wrist symptoms,and has positive clinical significance.
作者
关朝亮
曾彦
董彦
李志春
GUAN Chao-liang;ZENG Yan;DONG Yan(Department of Rehabilitation Medicine,Foshan Orthopaedic Hospital,Foshan 528000,China)
出处
《中国实用医药》
2024年第3期49-51,共3页
China Practical Medicine
基金
佛山市科技创新项目自筹经费类科技计划项目(项目编号:2020001005699)。
关键词
腕管综合征
高频超声引导
小针刀
效果
Carpal tunnel syndrome
High-frequency ultrasound-guidance
Small needle scalpel
Effect
