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桡骨茎突狭窄性腱鞘炎封闭疗法的解剖学基础
Hits: 2542   Download times: 1913   Received:September 22, 1999  Revised:March 20, 2000  
作者Author单位UnitE-Mail
张志钧 ZHANG Zhi jun 广州市荔湾区中医院,广东广州510140 Liwan Distr ict TCM Hospital of Guangzhou Guangdong,Guangzhou,510140  
刘有生 LIU You sheng 广州市荔湾区第二人民医院,广东广州  
万道富 WAN Dao fu 第一军医大学附属南方医院,广东广州  
李义凯 第一军医大学中医系,广东广州  
期刊信息:《中国骨伤》2001年14卷,第3期,第139-140页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的;研究桡骨茎突狭窄性腱鞘炎封闭疗法的解剖学基础,以提高疗效。

方法;对10具成人防腐固定标本(20例腕关节)进行解剖学结构观察,确定准确性的封闭点;根据确定的封闭点进针,对50例桡骨茎突狭窄性腱鞘炎的患者进行封闭治疗。

结果;一次封闭治疗后痊愈39例,占78%;两次封闭后痊愈49例,治愈率为98%.

结论;封闭治疗桡骨茎突狭窄性腱鞘炎时,可常规选用两点注射;一是腕关节轻度内收时,在腕关节的背侧面与腹侧面的交界处,支持带中间;第二点是在第一个注射点处水平向背侧移动2mm.
[关键词]:腱鞘炎  桡骨  封闭疗法
 
Anatomy foundation of local inje ction treatment(block therapy)for stenos ing tenovaginitis in the styloid process of radius
Abstract:

Objective;To p rovide the anatomical basis of local inj ection therapy for stenosing tenovaginit is in the styloid process of radius.

Methods;Anatomy observation was performed at 10 adult cadaver samples(20 wrist joints)to study the correct points for injection. 50 patients with stenosing tenovaginitis in the styloid process of radius were t reated with local injection methods and the points of injections were determined accurately in the specimens and then wer e used in the clinical cases.

Results;After the first injection,the excellent and good results was obtained in 78% of the patients and after second treatment, the excellent and good results reached 9 8%.

Conclusion;For the treatment of this condition,the points of injection should be selected a t the junction between dorsal part and f acies ventralis of wrist in slight flexi on,just at the middle of retinaculum and 2mm towards facies ventralis from above the point.
KEYWORDS:Tenosynovitis  Radius  Block  therapy
 
引用本文,请按以下格式著录参考文献:
中文格式:张志钧,刘有生,万道富,李义凯.桡骨茎突狭窄性腱鞘炎封闭疗法的解剖学基础[J].中国骨伤,2001,14(3):139~140
英文格式:ZHANG Zhi jun,LIU You sheng,WAN Dao fu.Anatomy foundation of local inje ction treatment(block therapy)for stenos ing tenovaginitis in the styloid process of radius[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(3):139~140
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