超声下细针穿刺改良小针刀在腕管综合征治疗中的应用效果

doi:10.7517/issn.1674-0475.220336

摘要/Abstract

摘要： 本研究探讨利多卡因+曲安奈德+VitB12混悬液注射联合超声下细针穿刺改良小针刀治疗腕管综合征患者的效果。选取60例腕管综合征患者作为研究对象，采用随机数字表法分为研究组和对照组，各30例，研究组采用利多卡因+曲安奈德+VitB12混悬液注射联合超声下细针穿刺改良小针刀治疗，对照组采用利多卡因+曲安奈德+VitB12混悬液注射联合传统小针刀治疗。治疗1个疗程、2个疗程、3个疗程后的视觉模拟疼痛程度量表（VAS）评分均低于对照组（P<0.05）；治疗后，研究组患者的症状严重性量表评分、功能状态量表评分低于对照组，差异具有统计学意义（P<0.05），研究组患者的正中神经感觉传导速度快于对照组（P<0.05），研究组的运动末端潜伏期短于对照组（P<0.05）；治疗3个疗程后，研究组的总体治疗效果优于对照组（P<0.05）。利多卡因+曲安奈德+VitB12混悬液注射联合超声下细针穿刺改良小针刀治疗腕管综合征能有效改善患者的临床症状，提高临床治疗效果。

关键词: 利多卡因, 曲安奈德, VitB12, 超声, 改良小针刀, 腕管综合征

Abstract: This study investigated the effect of lidocaine + trisineacetonide + VitB12 suspension injection combined with fine-needle aspiration under ultrasound and modified small needle knife in the treatment of patients with carpal tunnel syndrome. 60 patients with carpal tunnel syndrome were selected as the research objects, and divided them into the study group and the control group with 30 cases in each group by random number table method. The patients in the study group were treated with lidocaine + trisineacetonide + VitB12 suspension injection combined with fine-needle aspiration under ultrasound and modified small needle knife, and the control group was treated with lidocaine + trisineacetonide + VitB12 suspension injection combined with traditional small needle knife. The visual analog pain scale (VAS) scores after 1 course, 2 courses and 3 courses of treatment were lower than those in the control group (P<0.05). After treatment, the symptom severity scale score and functional status scale score of the patients in the study group were lower than those in the control group, and the difference was statistically significant (P<0.05). The median nerve sensory conduction velocity in the study group was faster than that in the control group (P<0.05), the motor terminal latency of the study group was shorter than that of the control group (P<0.05). After 3 courses of treatment, the overall therapeutic effect of the study group was better than that of the control group (P<0.05). Lidocaine + trisineacetonide + VitB12 suspension injection combined with fine needle aspiration under ultrasound and modified small needle knife in the treatment of carpal tunnel syndrome can effectively improve the clinical symptoms of patients and improve the clinical treatment effect.

Key words: lidocaine, trisineacetonide, VitB12, ultrasound, modified small needle knife, carpal tunnel syndrome

冯艳, 秦昕, 邢瑞林, 田新蕊, 高小平. 超声下细针穿刺改良小针刀在腕管综合征治疗中的应用效果[J]. 影像科学与光化学, 2022, 40(5): 1051-1055.

FENG Yan, QIN Xin, XING Ruilin, TIAN Xinrui, GAO Xiaoping. Application Effect of Fine-needle Aspiration of Modified Small-needle Knife Guided by Ultrasound in the Treatment of Carpal Tunnel Syndrome[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(5): 1051-1055.

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