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| Design and application of needle-knife and yuandun needle |
| ZHOU Jianbin1 LU Ying2 LI Kaiping2 |
1.Department of Pain, Nanjing Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210014, China;
2.the Second Clinical Medical College, Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210046, China |
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Abstract Professor Zhu Hanzhang invented a kind of sharp separating needle named needle-knife. His patent for invention "series of closed surgical needles" includes 12 types of needles. Needle-knife includes a needle, needle body and needle handle. Flat gourd-shaped or trapezoid handle of needle-knife is parallel to the blade line. The body of needle-knife is a cylinder. The different shape of the head of needle made various types of needle-knife. Professor Zhou Jianbin invented the blunt separation needle named yuandun needle. Yuandun needle includes a needle body and needle handle. The body of yuandun needle is long cone-shaped and the head is round-shaped. The handle of yuandun needle is bamboo-shaped. The treatment of acupotomy and yuandun needle therapy was based on body bowstring mechanical anatomy system and "mesh theory" of pathological framework of chronic soft tissue injury from Professor Zhang Tianmin. The cutting ways of acupotomy includes longitudinal dredging method, transverse dissection method, insert cutting method, stripping of bone surface method, permeability stripping method. Yuandun needle therapy includes parallel stab method and oblique stab method. The advantage of acupotomy is the ability to loosen soft tissue effectively and the defect is that it may damage normal human tissue. The advantage of yuandun needley is that it can safely loosen soft tissue and the defect is the limitation of treatment that cannot penetrate the dense connective tissue. Professor Zhou Jianbin invented tong needle, which can meanwhile sharp separate and blunt separate. Tong needle plays the advantages of needle-knife and yuandun needle and avoids the defects of needle-knife and yuandun needle.
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[1] 张天民，杜艳军.针刀医学发展简史[J].中国中医药导报，2016，13（27）：159-162.
[2] 田纪钧.刃针：中国，CN2574622Y [P]. 2003-09-24.
[3] 张天民.弧形针刀：中国，CN101161206A [P]. 2008-4-16.
[4] 周建斌，刘光东，李开平，等.后路针刀治疗前斜角肌综合征的临床疗效研究[J].世界中医药，2015，10（12）：1932-1935.
[5] 余红超，郭中华，董博，等.针刀整体松解术结合卧位平衡手法治疗肩关节周围炎90例临床观察[J].中国医药导报，2016，13（27）：167-169.
[6] 周建斌.圆钝针：中国，CN202078530U [P]. 2011-01-28.
[7] 朱汉章.新型手术针刀：中国，CN87206148Y [P]. 1987-11-25.
[8] 朱汉章.剪刀刃针刀：中国，CN2351089Y [P]. 1999-12-1.
[9] 朱汉章.旋转刀刃手术针刀：中国，CN2351093Y [P]. 1999-12-1.
[10] 朱汉章.注射针刀：中国，CN2353318Y [P]. 1999-12-15.
[11] 朱汉章.系列闭合性手术针刀：中国，CN1291699C [P]. 2006，12-27.
[12] 张天民.针刀医学基础理论[M].北京：中国中医药出版社，2012：138-139.
[13] 张天民，张强，曾垂秀，等.针刀刀具及其作用原理[J].中国医药导报，2016，13（27）：163-166.
[14] 张天民，杜艳军.人体弓弦力学解剖系统理论[J].中国医药导报，2017，14（3）：164-168.
[15] 周建斌.一种筋伤治疗通针：中国，CN103070706A [P]. 2015-05-20.
[16] 吴孟超，吴在德.黄家驷外科学[M].7版.北京：人民卫生出版社，2002：176-178.
[17] Ellabban AA，Barry R，Sallam AA. Surgical induction of posterior vitreous detachment using combined sharp dissection and active aspiration [J]. Acta Ophthalmol，2016， 94（6）：e524-e525.
[18] 宣蛰人.宣蛰人软组织外科学[M].上海：文汇出版社，2009：11-25.
[19] Wen ZQ，Wu GY，Yu SP，et al. Application of blunt dissection in ESD of a gastric submucosal tumor [J]. World J Gastroenterol，2014，20（21）：6698-6700.
[20] Chen WL，Xu LF，Tang QL，et al. Management of carotid body tumor and pseudoaneurysm after blunt dissection [J]. J Craniofac Surg，2015，26（2）：477-480.
[21] 中国针灸学会.针刀基本技术操作规范[M].北京：中国中医药出版社，2014. |
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