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| Study of ultrasound guided needle knife release in of clinical anatomical extremity diseases |
| ZHOU Qiaoyin1 SHEN Yifeng2 QIU Zuyun3 SUN Xiaojie4 LI Shiliang1 ZHANG Weiguang5 |
1.College of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fujian Province, Fuzhou 350122, China;
2.Department of Urology, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Sichuan Province, Chengdu 610075, China;
3.Department of Bone Orthopedics, Traditional Chinese Medicine, Beijing Jishuitan Hospital, Beijing 100035, China;
4.Department of Hand and Foot Surgery, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing 100029, China;
5.Department of Human Anatomy, School of Basic Medical Sciences, Peking University, Beijing 100191, China
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Abstract Objective To investigate the safety and accuracy of ultrasound guided needle knife release in extremity disease. Methods Twenty human specimens fixed with formalin were selected from the Department of Human Anatomy, School of Basic Medical Sciences, Peking University, the study was conducted from March 2019 to June 2022. Specimens were divided into traditional operation group and ultrasonic guided group, with ten specimens in each group, and the needle knife release operation was carried out under the same approach. The traditional operation group performed the needle knife release operation under invisible conditions, while the ultrasonic guided group performed the operation under the guidance of the high frequency probe. After the operation of needle loosening, the needle was kept, dissected layer by layer, and the needle path was observed, the success rate, accuracy and injury rate of conventional operation and ultrasound guided operation were compared in four diseases of radial stylostenosis tenosynovitis, flexor constriction tenosynovitis, carpal tunnel syndrome, and malleolar tunnel syndrome. Results The success rate of operation on carpal tunnel syndrome in ultrasound guided group was higher than that in traditional operation group, and the difference was statistically significant (P＜0.05). The operation release efficiency of flexor stenosis tenosynovitis, carpal tunnel syndrome, and ankle tunnel syndrome in ultrasound guided group was higher than that in traditional operation group, and the differences were statistically significant (P＜0.05). The operation injury rate of ultrasound guided group was lower than that of traditional operation group, and the difference was statistically significant (P＜0.05). Conclusion Ultrasound guided needle knife release technique has high safety and accuracy in the operation of terminal extremity diseases, which is worthy of clinical promotion.
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[1] 曾兴，丁志辉，傅丽琴，等.超声下针刀可视化的研究进展[J].针刺研究，2021，46（6）：546-548.
[2] 周俏吟，申毅锋，孙小洁，等.可视化针刀发展的机遇和挑战[J].中华中医药杂志，2020，35（10）：4801-4804.
[3] Dekimpe C，Andreani O，Camuzard O，et al. Ultrasound-guided percutaneous release of the carpal tunnel：comparison of the learning curves of a senior versus a junior operator. A cadaveric study [J]. Skeletal Radiol，2019，48（11）：1803-1809.
[4] Mittal N，Sangha H，Flannery J，et al. Ultrasound-Guided Incisionless Carpal Tunnel Release Using a Hook Knife：A Cadaveric Study [J]. PMR，2019，11（10）：1101-1106.
[5] Jiang L，Liu H，Li H，et al. Ultrasound-guided needle-knife for De Quervain’s disease：A protocol for systematic review and meta-analysis [J]. Medicine，2021，100（14）：e24877.
[6] 陈柏华，罗军，熊祎玭，等.超声引导下扳机指针刀松解的临床价值[J].中国超声医学杂志，2021，37（4）：456-459.
[7] 戴敏，李开平，何宁宁.超声可视化针刀技术治疗腕管综合征的安全性及临床疗效观察[J].中华中医药学刊，2020， 38（6）：193-196，273.
[8] 孙小洁. 超声引导下针刀治疗踝管综合征的临床解剖学研究[D].北京：北京中医药大学，2021.
[9] 申毅锋.超声引导下针刀松解术治疗桡骨茎突狭窄性腱鞘炎的解剖学研究 [D].北京：北京中医药大学，2019.
[10] 邱祖云.超声引导下针刀经皮松解A1滑车的临床解剖学研究 [D].北京：北京中医药大学，2020.
[11] 周俏吟.超声引导针刀松解腕横韧带的临床解剖学研究 [D].北京：北京中医药大学，2019.
[12] 潘珺俊，冯敏山，徐惠青，等.基于文献研究的针刀治疗不良事件现状统计及对策分析[J].北京中医药，2021， 40（12）：1310-1320.
[13] 梁楚西，戴中，杨嘉颐，等.超声引导下针刀治疗肩周疾病的研究概况[J].中华中医药杂志，2021，36（7）：4166- 4168.
[14] 刘晶，修忠标，林巧璇，等.基于经筋理论膝骨关节炎常见经筋病灶点的超声解剖学及针刀入路研究[J].中国针灸，2021，41（8）：892-896.
[15] 时宗庭，王庆甫，于栋，等.肌骨超声引导下针刀治疗退行性半月板病变的疗效观察[J].中国骨伤，2017，30（4）：349-352.
[16] Yang J，Ma B，Zhong H，et al. Ultrasound-Guided Percutaneous A1 Pulley Release by Acupotomy （Needle-Knife）：A Cadaveric Study of Safety and Efficacy [J]. J Pain Res，2022，15：413-422.
[17] 李超，张佩佩，徐朦婷，等.肌骨超声评价呼吸训练改善慢性非特异性下背痛患者多裂肌的形态学改变[J].中国组织工程研究，2023，27（9）：1417-1421.
[18] 胡国强，李德龙，刘际石.肌骨超声引导下针刀与常规针刀治疗膝骨关节炎的效果比较[J].中国医药导报，2022， 19（27）：145-148，165.
[19] 杨晓雨，袁心仪，柴东博，等.肌骨超声在常见肌肉骨骼疾病康复治疗中的应用进展[J].转化医学杂志，2021， 10（5）：335-338.
[20] Zhu S，Niu Y，Wang J，et al. Artificial Intelligence Technology Combined with Ultrasound-Guided Needle Knife Interventional Treatment of PF：Improvement of Pain，Fascia Thickness，and Ankle-Foot Function in Patients [J]. Comput Math Methods Med，2022，2022：3021320.
[21] Qin X，Zhang B，Feng Y，et al. Outcomes of Visualized Puncture Needle and Small Needle-Knife Therapy in Primary Frozen Shoulder Based on Multimodal Ultrasound Imaging [J]. J Healthc Eng，2022，2022：1076112.
[22] 刘小晨，张鹏，张小璐.超声引导针刀选择性松解治疗冻结肩的初步疗效[J].中国矫形外科杂志，2020，28（24）：2254-2257.
[23] Zhu X，Qiu Z，Liu Z，et al. CT-guided percutaneous lumbar Ligamentum Flavum release by needle knife for treatment of lumbar spinal stenosis：a case report and literature review [J]. J Pain Res，2020，13：2073-2081.
[24] Zhu X，Shen Y，Liu Z，et al. Ultrasound-Guided Percutaneous Release Procedures in the Lumbar Ligamentum Fla- vum by Acupotomy：A Cadaveric study [J]. Evid Based Com- plement Alternat Med，2019，2019：2807901.
[25] 周俏吟，申毅锋，贾雁，等.经典针刀术式治疗腕管综合征的临床解剖学研究[J].中国骨伤，2020，33（8）：745-749.
[26] 刘子祥，申毅锋，韩峰，等.腰椎软组织针刀松解术的临床解剖学研究[J].中华中医药杂志，2019，34（4）：1786- 1789. |
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