摘要
目的:探讨小针刀松解髌股外侧支持带治疗髌股外侧高压综合征的临床疗效。方法:将符合要求的60例髌股外侧高压综合征患者随机分为2组(实验组和对照组),每组30例。实验组采用小针刀松解髌股外侧支持带治疗,对照组在膝关节腔内注射曲安奈德注射液。采用改良Lysholm评分标准、视觉模拟评分法及髌股关节Ku jala评分进行疗效评定。结果:①治疗前2组患者视觉模拟评分比较,差异无统计学意义(t=2.121,P=0.061);末次随访时实验组视觉模拟评分低于对照组,治疗前后评分差值高于对照组(t=-10.589,P=0.000;t=49.410,P=0.000)。②治疗前2组患者Kujala评分比较,差异无统计学意义(t=-0.707,P=0.488);末次随访时Ku jala评分及治疗前后评分差值实验组高于对照组(t=4.189,P=0.000;t=6.608,P=0.001)。③按照改良Lysholm评分进行疗效评定,实验组疗效优于对照组(u=1.960,P=0.028)。结论:小针刀松解髌股外侧支持带是治疗髌股外侧高压征的有效方法。
Objective：To explore the clinical curative effects of lateral retinaculum release with small knife needle in the treatment of excessive lateral pressure syndrome of patellofemoral joint.Methods：60 patients with excessive lateral pressure syndrome of patellofemoral joint were randomly divided into experimental group and control group,30 cases in each group.Patients in the experimental group were administrated with lateral retinaculum release with small knife needle,while the others in the control group were administrated with triamcinolone acetonide injection into the knee joint cavity.The curative effects of the patients were evaluated according to the improved Lysholm scoring standards,visual analogue scales（VAS）and Kujala scoring system.Results：①There was no statistical difference in VAS of the patients between the 2 groups before the treatment（t=2.121,P=0.061）.At the final follow-up time,VAS of patients in the experimental group were lower than those of patients in the control group,while the score differences before and after the treatment of experimental group were higher than those of control group（t=-10.589,P=0.000;t=49.410,P=0.000）.②There was no statistical difference in Kujala scores of the patients between the 2 groups before the treatment（t=-0.707,P=0.488）.At the final follow-up time,Kujala scores and score differences before and after the treatment in the experimental group were all higher than those in the control group（t=4.189,P=0.000;t=6.608,P=0.001）.③The curative effects of the experimental group were better than those of the control group according to the improved Lysholm scoring standards（u=1.960,P=0.028）.Conclusion：The therapy of lateral retinaculum release with small knife needle is effective in the treatment of excessive lateral pressure syndrome of patellofemoral joint.
出处
《中医正骨》
2011年第7期8-11,共4页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
小刀针
外侧支持带松解
髌股外侧高压综合征
Small knife needle
lateral retinaculum release
excessive lateral pressure syndrome of patellofemoral joint
