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Analysis of the causes of treatment failure and corresponding strategies of needle knife in treating stenosing tenosynovitis |
HU Xianglin1 ZHANG Chang2 GUO Wenxin1 |
1.Department of Traditional Chinese Medicine, Dahongmen Community Health Service Center of Fengtai District in Beijing City, Beijing 100075, China; 2.Department of Traditional Chinese Medicine, Aerospace Center Hospital, Beijing 100049, China |
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Abstract Stenosing tenosynovitis is a clinical common and frequently-occurring disease. Needle knife is extensively used in treating stenosing tenosynovitis and the clinical effect is approved, while there are still some reports about failure treatment of needle knife. Aiming at common treatment failure phenomenons, such as snapping sound of joint after treatment, hematoma, numbness, scleroma, weakness of muscle-tendon or inhibited bending and stretching, this paper puts forward some coping strategies, such as familiar with anatomy, accurate positioning, dynamic positioning, ultrasound guidance, grasp of dissection degree, timely functional training after operation, rational use of hormone drugs, and so on.
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