陈腾

    【摘要】 目的：比較针刀镜下腱鞘松解与开放手术治疗指屈肌腱狭窄性腱鞘炎(THFT)的效果。方法：选择2019年5月-2021年4月于九江市中医医院治疗的60例THFT患者，按随机数字表法将其分为针刀镜手术组与传统手术组，每组30例。针刀镜手术组采用针刀镜下腱鞘松解术治疗，传统手术组采用传统开放手术治疗，观察至术后6个月。比较两组临床疗效、疼痛程度、病情严重程度、掌指关节处弹响、绞索、硬结情况及并发症。结果：针刀镜手术组治疗总有效率高于传统手术组(P<0.05)。针刀镜手术组术后6个月VAS评分低于传统手术组，Quinnell分级优于传统手术组，掌指关节处弹响、绞索、硬结发生率均低于传统手术组，并发症发生率低于传统手术组，差异均有统计学意义(P<0.05)。结论：THFT患者采用针刀镜下腱鞘松解术治疗安全可行，有利于改善患者临床症状，术后疼痛轻，且并发症少，可提高治疗效果。

    【关键词】 指屈肌腱狭窄性腱鞘炎 针刀镜 腱鞘松解术 开放手术 疼痛程度 并发症

    Comparison of Effect of Tendon Sheath Release under Needle Knife Microscope and Open Surgey in the Treatment of Tenosynovitis of Finger Flexor Tendon/CHEN Teng. //Medical Innovation of China， 2022， 19(16)： 0-096

    [Abstract] Objective： To compare the effect of tendon sheath release under needle knife microscope and open surgery in the treatment of tenosynovitis of finger flexor tendons (THFT). Method： A total of 60 patients with THFT treated in Jiujiang Hospital of Traditional Chinese Medicine from May 2019 to April 2021 were selected. They were divided into needle knife microscope group and traditional surgery group according to random number table method ......