超声介入联合倍他米松治疗指屈肌腱腱鞘炎的效果观察.pdf

超声介入联合倍他米松治疗指屈肌腱腱鞘炎的效果观察姜阳[摘要]目的探討超声介入联合倍他米松治疗指屈肌腱腱鞘炎的临床效果。方法选取2017年6月～2019年6月我院收治的86例指屈肌腱腱鞘炎患者随机数字表法分为观察组与对照组各43例对照组在滑膜内注射倍他米松注射液观察组在对照组的基础上采用超声介入治疗采用上肢功能障碍评定量表（DASH）、疼痛自评量表（VAS）评价两组治疗前后的治疗效果超声检测治疗前后的肌腱横截面直径、肌腱厚度。结果观察组治疗总有效率显著高于对照组（P<0.05）。两组患者治疗前VAS、DASH评分无显著差异（P>0.05）;治疗后两组患者的VAS、DASH评分均有所降低（P<0.05）但观察组的VAS、DASH评分降低程度优于对照组（P<0.05）。两组患者治疗前肌腱横截面直径、肌腱厚度无显著差异（P>0.05）;治疗后两组患者的肌腱横截面直径、肌腱厚度均有所减少（P<0.05）但观察组的肌腱横截面直径、肌腱厚度减少程度优于对照组（P<0.05）。结论超声介入联合倍他米松治疗指屈肌腱腱鞘炎效果显著。[关键词]超声介入;倍他米松;指屈肌腱腱鞘炎;疼痛[中图分类号]R686.1[文献标识码]B[文章编号]1673-9701（2020）07-0101-03EffectobservationofultrasoundinterventioncombinedwithbetamethasoneintreatmentoftenosynovitisoffingerflexortendonJIANGYangDepartmentofPhysicalDiagnosistheCentralHospitalofJiamusiCityinHeilongjiangProvinceJiamusi154002China[Abstract]ObjectiveToexploretheclinicalefficacyofultrasoundinterventioncombinedwithbetamethasoneinthetreatmentoftenosynovitisoffingerflexortendon.MethodsEighty-sixpatientswithtenosynovitisoffingerflexortendonadmittedtoourhospitalfromJune2017toJune2019wereselectedandrandomlydividedintotheobservationgroupandthecontrolgroupwith43patientsineachgroup.Inthecontrolgroupbetamethasonewasinjectedintothesynovium.Intheobservationgroupultrasoundinterventionwasperformedonthebasisofthetreatmentofthecontrolgroup.Upperlimbdysfunctionratingscale（DASH）andpainself-ratingscale（VAS）wereusedtoevaluatethetherapeuticeffectoftwogroupsbeforeandaftertreatment.Thecross-sectiondiameterandthicknessoftendonbeforeandaftertreatmentweredetectedbyultrasound.ResultsThetotaleffectiverateoftreatmentintheobservationgroupwassignificantlyhigherthanthatinthecontrolgroup（P<0.05）.Therewerenosignificantdifferenc