Clinical efficacy of ultrasound-guided interventional therapy for Morton neuroma
10.13929/j.1003-3289.201808069
- Author:
Li TAN
1
Author Information
1. Department of Ultrasound, Sichuan Academy of Medical Science & Sichuan Provincial People's Hospital
- Publication Type:Journal Article
- Keywords:
Metatarsus;
Neuroma, Morton;
Ultrasonography, interventional
- From:
Chinese Journal of Medical Imaging Technology
2019;35(5):750-753
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the clinical efficacy of ultrasound-guided interventional therapy for Morton neuroma. Methods All 36 patients with Morton neuroma were randomly divided into observation group (n=19) and control group (n=17). The patients of observation group were given ultrasound-guided interventional therapy, while the patients of control group were treated with traditional occlusive therapy. Vascular and tendon injuries during therapy, infection and other complications during 8 weeks after treatment were observed. Numerical rating scale (NRS) were assessed before treatment and 4 weeks and 8 weeks after treatment, and the maximum diameter of tumor before treatment and 8 weeks after treatment were compared. Results: No complications such as vascular and tendon injuries were observed in 2 groups during treatment. Six patients in control group had local infection during 8 weeks after treatment, which were relieved after symptomatic treatment. In observation group, NRS scores decreased obviously in 4 weeks and 8 weeks after treatment compared with before treatment (both P<0.01). Compared with that before treatment, NRS score of 4 weeks after treatment decreased in control group (P<0.01), while no significant difference was found between 8 weeks after treatment and before treatment (P>0.05), as well as between 8 weeks and 4 weeks after treatment (P>0.05). There was no significant difference of NRS scores before treatment and 4 weeks after treatment in both 2 groups (both P>0.05), while NRS score of observation group decreased compared with control group 8 weeks after treatment (P<0.001). The differences of the maximum diameter of tumors before treatment and 8 weeks after treatment were not statistically significant between 2 groups (both P>0.05). Conclusion: Ultrasound-guided intervention is efficacy and safety in treatment of Morton neuroma.
