Ultrasound-guided needle-knife for trigger finger.
10.13703/j.0255-2930.2019.08.017
- Author:
Wen-Bing ZHANG
1
;
Dong-Wen YAO
1
;
Wei-Xian WU
2
Author Information
1. Department of Pain Management, People's Hospital Affiliated to Fujian University of TCM, Fuzhou 350004, China.
2. Department of Ultrasound, People's Hospital Affiliated to Fujian University of TCM, Fuzhou 350004, China.
- Publication Type:Journal Article
- Keywords:
ashi point;
needle-knife;
stenosing tenosynovitis of flexor tendon;
three-dimensional positioning;
trigger finger;
ultrasonic guidance
- MeSH:
Humans;
Needles;
Tendons;
Trigger Finger Disorder;
therapy;
Ultrasonography
- From:
Chinese Acupuncture & Moxibustion
2019;39(8):867-870
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the efficacy of ultrasound-guided needle-knife with precise three-dimensional stereotactic localization of points for stenosing tenosynovitis of flexor tendon (trigger finger).
METHODS:A total of 74 patients were randomly divided into an observation group and a control group, 37 cases in each group. The patients in the observation group were treated with ultrasound-guided intrathecal injection and releasing method of needle-knife, while the patients in the control group were treated with ultrasound-guided intrathecal injection. The self-made 9-score scale of trigger finger was recorded before treatment, immediately after treatment, 1 month and 3 months after treatment; the curative effect of the two groups was evaluated.
RESULTS:The results of self-made 9-score scale in the observation group immediately after treatment, 1 month and 3 months after treatment were lower than that before treatment (all <0.01); the scores in the observation group were lower than those in the control group at each time point after treatment (all <0.01). The excellent and good rate immediately after treatment was 100.0% (37/37) in the observation group, which was superior to 8.1% (3/37) in the control group (<0.05); the cured rates in the observation group were 100.0% (37/37) 1 month after treatment and 97.3% (36/37) 3 months after treatment, which were superior to 13.5% (5/37) and 10.8% (4/37) in the control group, respectively (<0.05).
CONCLUSION:The needle-knife with three-dimensional stereotaxic location of point could significantly improve the symptoms of trigger finger, with superior immediate and long-term efficacy.
