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題 名 | Percutaneous A1 Pulley Release for Trigger Digits=以針頭經皮穿刺治療板機指 |
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作 者 | 欒同如; 張明超; 林建甫; 劉毅; 余榮光; 羅惠熙; | 書刊名 | 中華醫學雜誌 |
卷 期 | 62:1 1999.01[民88.01] |
頁 次 | 頁33-39 |
分類號 | 416.615 |
關鍵詞 | A1滑車; 狹窄性腱鞘炎; 板機指; A1 pulley; Stenosing tenosynovitis; Trigger finger; |
語 文 | 英文(English) |
中文摘要 | 背景 自從1958年Lorthioir以經皮穿刺的技術來治療板機指之後,近年來更有學 者以針頭經皮穿刺來切開A1滑車,並發現它是一個簡單、有效而且適合在門診進行的方法。 本文報告以針頭經皮穿刺A1滑車切開術來治療板機指的結果。 方法 從1996年11月至1997年8月,有69個病例(共71個原發性板機指)接受以 19號針頭、配以3ml注射器的經皮穿刺A1滑車切開術。病例平均年齡66歲,平均追蹤時 間21週。我們前瞻性地將病例以年齡、性別、患側部位、發生症狀的時間和是否接受過局 部類固醇注射治療這5個項目,分為兩組來做討論。 結果 在追蹤過程中,有63個板機指在治療之後症狀完全解除,8個板機指治療無效。 治療的成功率不受年齡、性別、患側部位、發生症狀的時間和是否接受過局部類固醇注射治 療的影響。本研究沒有嚴重的併發症發生,然而輕微的併發症如持續性的局部疼痛有9例、 皮下血腫有6例。女性及發生在拇指的板機指為持續性局部疼痛的危險因子。 結論 以針頭經皮穿刺A1滑車切開術來治療板機指是一種安全、有效而且方便的方法。 |
英文摘要 | Background. Recently, percutaneous trigger digit release has been reported as a safe, effective office procedure. The purpose of this study was to further assess the safety and efficacy of this technique. Methods. From November, 1996, to August, 1997, 69 consecutive patients with 71 primary trigger digits were treated with percutaneous A1 pulley release. The operations were performed using the tip of a 19-gauge needle, mounted on a 3-m1 syringe. The mean age of the patients was 66 years. The mean duration of follow-up was 21 weeks. The patients were prospectively classified into two groups according to age, sex, digit involved, duration of symptoms and whether or not they had had previous local steroid injection. Results. Sixty-three digits were completely free of triggering. Residual triggering or inadequate release was found in eight digits at final follow-up. The success rate was not associated with sex, age, digit involved , duration of symptoms or history of local steroid injection. No major complications were found in this study, but minor complications included persistent local tenderness in nine digits and subcutaneous hematoma in six digits. Risk factors related to persistent local tenderness were female gender and trigger thumb. Conclusions. Percutaneous A1 pulley release in an effective, safe and convenient procedure for the treatment of trigger digits. |
本系統中英文摘要資訊取自各篇刊載內容。