| 超声引导下小针刀治疗跖筋膜炎临床疗效观察 |
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投稿时间：2016-02-06
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| 作者 | Author | 单位 | Address | E-Mail |
| 段华 |
DUAN Hua |
四川省人民医院中医骨科, 四川 成都 610072 |
Department of Orthopaedics, Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan, China |
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| 陈世寅 |
CHEN Shi-yin |
四川省人民医院中医骨科, 四川 成都 610072 |
Department of Orthopaedics, Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan, China |
76817600@qq.com |
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| 期刊信息：《中国骨伤》2016年，第29卷，第12期，第1092-1096页 |
| DOI：10.3969/j.issn.1003-0034.2016.12.006 |
| 基金项目:2012年四川省中医药管理局科研基金（编号：2012-B082）；2012年四川省卫生厅科研课题（编号：120128） |
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中文摘要:
目的：探讨超声引导下小针刀疗法与传统针刀疗法治疗跖筋膜炎的临床疗效。
方法：自2011年3月至2015年5月，将234例诊断为跖筋膜炎的患者分为超声引导组和传统针刀组。超声引导组117例，男54例，女63例；年龄42~81岁，平均（54.36±15.04）岁；病程平均（15.72±9.55）个；采用超声引导下小针刀疗法进行治疗。传统针刀组117例，男52例，女65例；年龄43~80岁，平均（53.59±18.14）岁；病程平均（16.98±8.99）个；不采用超声引导、仅使用传统针刀技术进行治疗。观察并比较两组治疗前，治疗1周、1个月和3个月后视觉模拟评分（VAS）、压痛评分及美国足踝外科协会后足评分（AOFAS-AH）。
结果：两组患者治疗1周、1个月、3个月后的VAS评分、压痛评分，超声引导组均低于传统针刀组，差异具有统计学意义（P<0.05），超声引导组在减轻患者疼痛方面疗效优于传统针刀组，且起效更快；治疗1周、1个月、3个月后的AOFAS-AH评分超声引导组均高于传统针刀组，差异有统计学意义（P<0.05），超声引导组患者术后各时段足的功能优于传统针刀组；两组患者术后伤口愈合情况均较好，无并发症发生。
结论：超声引导下小针刀技术是治疗跖筋膜炎的可靠方法，具有起效快、疗效优、功能恢复良好的优点。 |
| 【关键词】超声检查 筋膜炎,足底 针刀疗法 |
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| Observations on efficacy of small needle scalpel under ultraosonography guidance in plantar fasciitis |
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ABSTRACT
Objective: To evaluate the efficacy of small needle scalpel under ultraosonography guidance in plantar fasciitis.
Methods: From March 2011 to May 2015,234 patients with plantar fasciitis were divided into ultrasound-guided group and traditional knife group. There were 117 patients in ultrasound guided group,including 54 males and 63 females,aged from 42 to 8 years old with an average of (54.36±15.04) years;the courses of disease was (15.72±9.55) months on average;treated with small needle scalpel under ultraosonography guidance. While there were 117 patients in traditional small needle scalpel group,including 52 males and 65 females,aged from 43 to 80 years old with an average of (53.6±18.14) years;the average course of disease was (16.98±8.99) months;treated only with needle knife. VAS score,tenderness score and AOFAS-AH score before treatment,1 week,1 month and 3 months after treatment were observed and compared between two groups.
Results: VAS score,tenderness score in ultrasound guided group were lower than traditional needle knife group,and had significant difference between two groups at 1 week,1 month and 3 months after treatment;while ultrasound guided group was better than traditional needle knife group in alleviating pain. AOFAS-AH score in ultrasound guided group was higher than traditional needle knife group,and had significant difference between two groups at 1 week,1 month and 3 months after treatment. The function of foot at different time points in ultrasound guided group was better than traditional needle knife group. Wound healing between two groups were better and no complications were occurred.
Conclusion: Needle knife under ultraosonography guidance is a reliable method for the treatment of plantar fasciitis,and has advantages of rapid onset,excellent efficacy,good functional recovery. |
| KEY WORDS Ultrasonography Fasciitis,plantar small-needle-scalpel |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 段华,陈世寅.超声引导下小针刀治疗跖筋膜炎临床疗效观察[J].中国骨伤,2016,29(12):1092~1096 |
| 英文格式: | DUAN Hua,CHEN Shi-yin.Observations on efficacy of small needle scalpel under ultraosonography guidance in plantar fasciitis[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(12):1092~1096 |
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