CAJ | 학술논문

目的：探讨斜刃针刀在治疗屈指肌腱鞘炎上的解剖机理以及优势。方法观测各指屈指肌腱鞘环状韧带A1环的宽度及体表定位，分别采用特型斜刃针刀和 I 型4号针刀治疗屈指肌腱鞘炎患者各24例，3个月后随访患者疗效及症状的改善程度。结果环状韧带 A1总体平均宽度约为7．0mm；治疗组总有效率优于对照组，有显著性差异（P＜0．05）。两组 VAS 评分治疗前后比较，均有极显著性差异（P ＜0．01）；治疗前后 VAS 评分差值组间比较，有显著性差异（P ＜0．05）。结论斜刃针刀治疗屈指肌腱鞘炎的目的主要是通过切开腱纤维鞘 A1环，解除对屈指肌腱的束缚，能显著改善屈指肌腱鞘炎患者的临床症状及体征，远期疗效优于 I 型4号针刀，值得临床推广。
목적：탐토사인침도재치료굴지기건초염상적해부궤리이급우세。방법관측각지굴지기건초배상인대A1배적관도급체표정위，분별채용특형사인침도화 I 형4호침도치료굴지기건초염환자각24례，3개월후수방환자료효급증상적개선정도。결과배상인대 A1총체평균관도약위7．0mm；치료조총유효솔우우대조조，유현저성차이（P＜0．05）。량조 VAS 평분치료전후비교，균유겁현저성차이（P ＜0．01）；치료전후 VAS 평분차치조간비교，유현저성차이（P ＜0．05）。결론사인침도치료굴지기건초염적목적주요시통과절개건섬유초 A1배，해제대굴지기건적속박，능현저개선굴지기건초염환자적림상증상급체정，원기료효우우 I 형4호침도，치득림상추엄。
s:Objective To investigate anatomical mechanism and superiority on oblique edge acupotome in the treatment of flexor tenosy -novitis.Method Observation for each finger flexor tendon sheath width and surface location of the annular ligament of A 1 rings, respective-ly, using special oblique blade acupotome and I type 4 acupotome for the treatment of tenovaginitis of flexor digitorum of the 24 cases of pa-tients, improve the degree and effect of symptoms after 3 months of follow -up of patients.Results The average width of the annular liga -ment of total A1 is about 7.0mm;The effecy of the two groups :the treatment group 20 cases were cured, 4 cases improved, the total efficien-cy was 100%, control group 16 cases were cured, 4 cases improved, 4 cases ineffective, the total efficiency of 83.33%.Comparing the two groups, statistically, there was significant difference (P <0.05).Two groups of VAS score before and after the treatment group compared with statistical treatment, there were significant differences (P <0.01), before and after treatment,compare the score difference between the groups, there was significant difference (P <0.05).Conclusion Oblique blade acupotome treatment of tenovaginitis of flexor digitorum purpose is mainly through the incision and tendinous sheath A 1, the lifting of the shackles of flexor tendon , can obviously improve the clinical symptoms and signs of muscle flexor tenosynovitis of patients , long -term efficacy is superior to the I type 4 acupotome, is worthy of clinical spread.