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)cm2、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)cm2、(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.
Abstract
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 small-needle 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)cm2 and(0.19±0.02)cm in the observation group,which were smaller than(0.14±0.02)cm2 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 High-frequency 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.
基金项目
佛山市科技创新项目自筹经费类科技计划项目(2020001005699)
维普
万方数据