主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

JOURNAL OF BEIJIGN UNIVERSITY OF TRADITIONAL CHINE ›› 2018, Vol. 41 ›› Issue (3): 259-264.doi: 10.3969/j.issn.1006-2157.2018.03.014

Previous Articles    

Treatment of stenosal tendosynovitis with percutaneous micro-invasive release therapy by using push-cut knife: a clinical trial*

Yu Changhe, Luo Tao#, Liu Changxin, Zhao Yujie, Tian Guihua, Wang Xiyou, Liu Jing, Wang Fu   

  1. Department of Tuina and Pain Management, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
  • Received:2017-06-28 Online:2018-03-30 Published:2018-03-30
  • Supported by:
    *Healthy Fostering for Capital Citizens (No. Z141100002114008)

Abstract: Objective To evaluate the effectiveness and safety of percutaneous micro-invasive release therapy by using push-cut knife on stenosal tendosynovitis. Methods The patients with stenosal tendosynovitis were chosen according to inclusion criteria, and then divided, based on random digital table and 1∶1 of random concealmert, into push-cut knife group and needle-knife group. The push-cut knife group was given push-cut knife therapy one time, and was given traditional needle-knife one time. The main outcome index was cure rate on the 27th week after treatment, and secondary indexes included pain scores, joint range of motion (ROM) and trigger indications. The safety indexes included complications and adverse events. Results There were totally 120 patients were chosen, but one quitted due to serious disease in needle-knife group, and 119 patients completed the study and were brought into the statistical analysis of outcome indexes. On the 27th week after treatment, there were 55 cases (91.67%) cured in push-cut knife group and 39 (66.10%) cured in needle-knife group (P<0.001). The indexes of trigger indications, pain and ROM were significantly relieved in 2 groups, and improved more significantly over time. The comparisons at the time points of the 1st, 3rd, 6th, 12th and 27th weeks showed that, the reliefs of trigger indications, pain and ROM were superior in push-cut knife group than those in needle-knife group (P<0.05). There were no adverse events or complications occurred in 2 groups. Conclusion The push-cut knife has higher one-off cure rate in treatment of stenosal tendosynovitis. The signs of pain, ROM and trigger indications are relieved immediately after treatment, and continuously relieved after half year. There are no adverse events occurred.

Key words: push-cut knife, needle-knife, percutaneous micro-invasive release therapy, stenosal tendosynovitis, snapping finger, trigger finger

CLC Number: 

  • R274.9