Efficacy Of Ultrasound-guided Drug Injection Combined With Needle Knife Release In The Treatment Of Stenotic Tenosynovitis Of Thumb In Adults

Objective:Stenotic tenosynovitis,also known as Trigger finger(TF),is a common condition that affects the function of the hand in middle-aged and elderly people.It is a common disease that affects the function of hand in middle-aged and elderly people.Patients usually have symptoms such as painful pressure,limited movement or popping,which bring serious burden to their work and quality of life.In this study,we investigated the clinical efficacy of ultrasound-guided drug injection combined with needle knife release in the treatment of adult flexor tendon stenosis tenosynovitis and the changes of the affected finger tendon after treatment.Methods:Patients attending the Linyi People’s Hospital Beicheng Hospital were used as the case source.62 patients who met the inclusion criteria were randomly divided into the control group and the observation group,31 patients in the control group were treated with compound betamethasone and other drug injections under ultrasound guidance,31 patients in the observation group were treated once by adding ultrasound-guided acupuncture therapy to the control group.The VAS score,hand Quinnell classification and ultrasound images of the tendon before treatment were evaluated in both groups before treatment,and the pain VAS score,hand Quinnell classification and tendon thickness under ultrasound were evaluated twice in both groups after one week of treatment;the VAS score and hand Quinnell classification were evaluated again after one month of treatment,and the clinical efficacy after one month of treatment was summarized.The patient’s tendon images under ultrasound after treatment were recorded and compared with the images before treatment to determine whether there were any changes and the changes.Finally,the patients’ VAS score,Quinnell classification,clinical treatment effect and tendon change results were entered into the computer,and a database was established,and the results were analyzed and processed by statistical software.Results:(1)Case completion: A total of 62 patients who met the inclusion criteria were included in this study,of which a total of 3 patients were lost(2 in the control group and 1in the observation group)and 1 patient in the observation group was converted to surgical treatment,resulting in a total of 58 patients with flexor tendon stenosis tenosynovitis who completed this study.(2)General information of patients: before treatment,there was no significant difference in gender,age and disease duration between the two groups(P > 0.05).(3)There was no statistically significant difference in VAS score,Quinnell classification,and tendon thickness measurements between the two groups of patients before treatment(P > 0.05).The VAS score,Quinnell classification,clinical efficacy evaluation criteria and tendon thickness of patients in both groups improved after 1 week and after 1 month of treatment compared with those before treatment in this group(P <0.05);There was a significant difference in VAS scores between the two groups 1 week after treatment and the observation group had lower scores(t=3.528,P<0.05),a significant difference in Quinnell scores between the two groups and the observation group had lower scores(Z=2.449,P<0.05),and no statistically significant difference in tendon thickness measurements between the two groups(t=0.84,P>0.05);1 month after treatment,there was a significant difference in VAS scores between the two groups and the observation group had lower scores(t=3.455,P<0.05),a significant difference in Quinnell scores between the two groups,the observation group had lower scores(Z=2.457,P<0.05),a statistically significant difference in tendon thickness measurements between the two groups(t=2.13,P<0.05),the observation group had more significant changes in tendon thickness than the control group;the total effective rate was 80% in the control group and 100% in the observation group 1 month after treatment,and there was a significant difference in the clinical efficacy between the two groups(Z=2.028,P<0.05)and the difference was statistically significant.Conclusion:(1)The pathological changes of tendon and tendon sheath under ultrasound are helpful to the diagnosis of stenotic tenosynovitis of flexor tendon;(2)This study found that needle knife treatment of flexor tendon stenotic tenosynovitis can effectively alleviate the patient’s hand pain,improve the patient’s hand activities,and speed up the disease recovery process.In the long run,it has a good effect on the patient’s tendon recovery.