■触发手指被认为是降低功能能力的最常见的手肌腱病。本研究比较了在多指受累的情况下,开放式经典松解术与超声引导下经皮手术的临床效果。
■从2019年3月至2020年12月进行了一项队列研究,参与了34例有多个受累的扳机指患者。这些患者使用经典的开放释放和超声引导的经皮释放方法进行治疗,并在患者中比较了两种方法。从手臂的快速残疾获得的疼痛严重程度和功能能力,肩膀,并比较手测(Quick-DASH)成绩。
■经典开放手术患者的疼痛强度与超声引导组没有显着差异,1个月的随访显示,超声引导下患者的疼痛强度明显低于其他组(P=0.02).此外,1个月随访前后的功能能力无显著差异.的确,两组情况相同。此外,超声引导下经皮释放组的恢复时间明显快于其他组.这些病例具有统计学差异,分别为P=0.001和P<0.001。两组的手术释放均为100%成功。患者对超声引导和开放经典手术治疗方法的满意率分别为94.1%和76.4%,分别。
■经典的开放释放和超声引导经皮手术可以成功地治疗多个触发手指。然而,超声引导下经皮手术比其他方法恢复更快,疼痛强度更小.
UNASSIGNED: A trigger finger is recognized as the most common hand tendinopathies that reduce functional ability. The present study compares the clinical outcomes of open classic release surgery with ultrasound-guided percutaneous surgery in cases of multiple finger involvement.
UNASSIGNED: A cohort study has been performed from March 2019 to December 2020 by participating 34 trigger finger patients with multiple involvements. These patients were treated using classical open release and ultrasound-guided percutaneous release methods and both methods were compared in patients. The pain severity and functional ability obtained from the quick disabilities of the arm, shoulder, and hand (Quick-DASH) test scores were compared.
UNASSIGNED: The pain intensity in the classical open surgery patients was not significantly different from the ultrasound-guided group, and a one-month follow-up showed that the pain intensity in the ultrasound-guided patients was significantly less than in the other group (P = 0.02). Besides, no significant difference was observed between the functional abilities before and after the one-month follow-up. Indeed, the two groups had the same situations. Also, the recovery time in the ultrasound-guided percutaneous release group was significantly faster than in the other group. These cases had statistical differences as P = 0.001 and P < 0.001, respectively. The surgical release was 100% successful in both groups. The patients\' satisfaction rates in the ultrasound-guided and open classic surgery treatment methods were 94.1 and 76.4%, respectively.
UNASSIGNED: Classical open release and ultrasound-guided percutaneous surgery could successfully treat multiple trigger fingers. However, ultrasound-guided percutaneous surgery provided faster recovery and less pain intensity than the other method.