体外定位小针刀松解术治疗跟痛症的临床研究

Clinical study on small knife treatment in pain of lysis with vitro location

关键词:  体外定位  小针刀松解术  跟痛症  临床研究

Key words:  vitro location  small knife surgery  calcanodynia  clinical research

摘要:

[目的] 探讨应用体外定位技术既应用自制针刀定位尺小针刀松解术治疗跟痛症临床疗效与安全性。[方法] 应用随机抽签法将105例（105跟）跟痛症患者随机分成3组，每组35例，应用自制针刀定位尺行体外定位松解术，比较治疗组（A组松解跖腱膜1/2组，B组松解跖腱膜1/4组）和对照组（C组局部封闭治疗组）在治疗前、后（2周后）疼痛视觉评分（VAS）及疗效观察等方面的差异。[结果] 应用体外定位小针刀松解术即应用自制针刀定位尺行体外定位松解术治疗跟痛症的治疗效果优于局部封闭治疗（P<0.05），且松解跖腱膜1/2组治疗效果与松解跖腱膜1/4组无统计学差异。[结论] 运用体外定位技术既应用自制针刀定位尺量化针刀进针点及松解范围是治疗跟痛症安全而有效的方法，为进一步规范针刀标准操作，探寻跟痛症可行性治疗手段提供新的平台。

Abstract:

[Objective] To explore the application of acupotomy lysis in vitro positioning technology for calcaneodynia clinical efficacy and safety. [Methods] Taking 105 cases (105 heels) of patients in hospital, randomly divided into three groups as treatment groups (group A: lysis of 1/2 plantar fascia, group B: lysis of 1/4 plantar fascia) and control group (group C: local blocking group), each 35 cases. The assessment of Visual analogue scale (VAS) and curative observation were compared before and after therapy by using acupotomology with self-designed needle-knife locating ruler. [Results] The treatment effect of calcanodynia with self-designed needle-knife locating ruler was better than local blocking(P<0.05) and lysis of 1/2 plantar fascia and lysis of 1/4 plantar fascia. [Conclusion] Quantitative entry point and release range there were no significant difference between were fixed using the self-designed needle-knife locating ruler, which was highly effective and safe for the therapy of calcanodynia. This study would offer a foundation of further study for the the standard operation norm of the needle knife and the feasibility of the treatments for calcanodynia.