Styloid Stenosis Tenosynovitis inyeposti inokonzerwa nekurwadziwa nekuzvimba kweAbductor Policis Longus Tendons paDorsal Carpal Sheat paRadial Styloid Process. Zviratidzo zvakawedzera nechigunwe chekuwedzera uye calimor kutsauka. Chirwere chakatanga kutaurwa neSwitzerland surgeon de quanine muna 1895, saka radial styloid stenosis tenosynovitis inozivikanwa sedochirwere chechibereko.
Chirwere ichi chakajairika muvanhu vanowanzoita chiuno chemuchindwe uye chigunwe chemunwe zviitiko, uye chinozivikanwa zvakare se "ruoko rwaamai" uye "chigunwe chemutambo". Nekuvandudzwa kweInternet, huwandu hwevanhu hwakakanganiswa nechirwere chiri kuwedzera uye mudiki. Saka kuongorora uye kurapa chirwere ichi? Izvi zvinotevera zvichakupa iwe rondedzero kubva pazvinhu zvitatu: Anatomical chimiro, Clinical kuongororwa uye nzira dzekurwisa!
I.anatomy
Iyo styloid process yeradius ine yakatetepa, isina kudzika sulcus yakafukidzwa neiyo dorsal carpal ligrament iyo inoumba sheath yefadzi yebhoni. The Abductor Poldicis Longus Tendon uye Extnsor Policis Bravis Tendon Pfupi nepakati uye akaisa pachigadziko cheMetacarpal pfupa uye pachigadziko cheProximal phalanx yechigunwe chechigunwe. Kana iyo tendon masiraidhi, kunyanya esimba rekupokana, kunyanya kana ruoko rwechiWrist ulnar kutsauka kana chigunwe chekufamba, iyo kona inowedzera, ichiwedzera kupokana pakati peiyo tendon nemadziro emadziro. Pashure penguva refu renguva refu rinodzokororwa kukurudzira, Synovium rinopa shanduko dzinozvisimbisa senge eEdema ne hyperplasia, ichikonzera kudzikisira kana kudzikisira madziro uye sheath madziro ezviratidzo zve steniosis tenosynevitis.
Fig.1 Anatomical Diagram yeiyo Styloid Process yeRadius
II.clinical kuongororwa
1.Nhoroondo yekurapa inowanzoitika pakati pemakore epakati-maneja, uye nevanyori vechinyakare, uye zvakajairika muvakadzi; Onset inononoka, asi zviratidzo zvinogona kuitika kamwe kamwe.
2.Syns: Localized Kurwadziwa muTyyloid Process yeRadius, iyo inogona kupenya kuruoko uye kushaya simba, kushaya simba kwezviratidzo kana zvigunwe zvekuwedzera uye wrist ulnar kutsauka; Mbiruji dzidziso dzinogona kuve dzakarongedzwa pane iyo styloid maitiro eiyo radius, yakafanana neye bony mukurumbira, ine runyoro nyoro.
3.FinkelStein bvunzo (kureva kuti, chibhakera ulnar kutsauka bvunzo) zvakanaka (sezvakaratidzwa mumufananidzo 2), chigunwe chakachinjika muchindwe, iyo maronda eUlnar akatsauka, uye kurwadziwa kuRadius Styloid.
Tooxileary Exination: X-Ray kana Ruvara Ultrosound bvunzo dzinogona kuitwa kana zvichikosha kuti usimbise kana paine pfupa kana synovitis. Nhungamiro yeiyo Militisklinary kurapwa kweStyloid Stenosis yeTenosynovitis yeradius inodikanwa kuti isiyane nerudzi rwemukati, uye parairm crucety syndrome panguva yekuongororwa.
Iii.treatment
Conservative Therapylocal Impreblizy Therapy: Mune yekutanga nhanho, varwere vanogona kushandisa gadziriro yekunze kuti asainye kuderedza mitezo yemunharaunda uye kudzoreredza kukwezva kweiyo tendon muTogon Sheath kuzadzisa chinangwa chekurapwa. Nekudaro, kusagadzikana kunogona kunge kusiri kuona kuti iyo yakakanganiswa makumbo iri munzvimbo, uye kusagara kwenguva refu kwakashata kunogona kuguma nekunetseka kwenguva refu. Kunyangwe kusvibiswa-kwakabatsira mamwe marapirwo anonyatsoshandiswa mukuita kwekiriniki, kushanda kwekurapa kunoramba kuchiramba kukakavara.
Kurapa kwenzvimbo Officus Iko kurapa kunoenderana zvakanyanya neTriamcinolone acetonide uye lidocaine hydrochloride. Sodium Halmoronate majekiseni anogona zvakare kushandiswa. Nekudaro, mahormone anogona kunge aine zvinetso zvakadai sekurwadziwa-kweganda remahoni, munharaunda yepamhepo tishu atrophy, chiratidzo chekumisa nzara, uye yakakwirira yeropa glucose. Iko kukanganisa kukuru kune hormone allergy, ane nhumbu uye anokwereta varwere. Sodium HyaMheronate inogona kunge yakachengeteka uye inogona kudzivirira kukuvara kwekunamatira kutenderedza tendon uye kusimudzira kupora tendon. Iyo kiriniki mhedzisiro yekusagadzikana kurapwa zviri pachena, asi kune mishumo yemakiriniki yemunwe necrosis yakakonzerwa neyakaomesesa jekiseni jekiseni (Mufananidzo 3).
Fig.
Precustoms yekumanikidza kurapwa kurapwa kwerapa radius stenosis stenosynovitis: 1) Sikisi inofanira kubviswa isati yasvika mushonga kuti uve nechokwadi chekuti sindano jekiti haipinde mumudziyo weropa; 2. 3) Mushure meHormone Occlusion jekiseni, pane kazhinji madhigirii akasiyana ekurwadziwa, kuzvimba, uye kurwadziwa kwemunyepedzera kunofanirwa kuongororwa, uye kusimuka kwemunyepo. mamiriro; 4) Hormonial kukanganisa kwakadai sekunyepedzera, chirwere cheshuga, chirwere chemoyo, nezvimwe, hazvingafanirwe kurapwa nemuno odalusion.
Shockwave: Iko kurapa kwekuchengetedza, kusasangana kwekunobatsira kwekugadzira simba kunze kwemuviri uye kugadzira mhedzisiro munzvimbo dzakadzama mukati memuviri pasina kukuvadza matishu akatenderedza. Iyo ine mhedzisiro yekusimudzira metabolism, kusimbisa ropa uye lymphatic kupararira, kuvandudza hutachiona hwehunhu, kusunungura capillarlies, uye kusunungura Joint tishu zvinyoro-nyoro. Nekudaro, zvakatanga kunonoka kurapwa kweSyloid Stenosis yeTenosynovitis, uye mishumo yekutsvagisa ndeyekudzorwa-kwakadzorwa neuchenjeri hwekurapa.
Acupuncture kurapwa: Kurapa kweSupuncture ndeyekuvharwa kwakavharwa pakati pekurapwa kwekusiya uye nekushambadzira kwemukati, uye kudedera kweropa kwakapoteredzwa kuburikidza nekukudzwa kweiyo acupuncture, kuderedza kuendesa kwekusimudzira, uye kuzadzisa chinangwa che anti-inclammating uye analgesic.
Tsika yechinyakare mishonga: Radial styloid stenosis tenosynovitis ndeye "mitezo yemichero" mumushonga weiyo mamaland, uye chirwere chakavakirwa pakushomeka uye chiyero. Nekuda kwekureba kwechiitiko chechiuno chechiuno, chakanyanya kushamwaridzana, zvichikonzera kuti kushomeka kweropa uye kushomeka kweropa, izvi zvinonzi kushomeka kwekutanga; Nekuda kweiyo qi yeko uye kushomeka kweropa, mhasuru nemitsipa zvinotsvedza, uye kuunganidzwa kwemhepo, uye zvinowanikwa zvakakomba, saka zvinowanikwa kuti kurwadziwa kwechiuno chechiuno uye yekutanga metacarpophasenge majoini inowedzera mukiriniki, iyo iri chiyero. Izvo zvaive zvakarukwa zvakawanikwa kuti moxibustion kurapa, kurapwa kwemassage, kurapwa kwekunze kweiyo manyorerwo eChinese mechi uye acupuncture kurapwa kune mamwe mariniki mhedzisiro.
Kuvhiya Kwekuvhiya: Kuvhiya kwekuvhiya kweiyo Dorsal Carpal Lident yeradius uye kushoma kurapa ndeimwe yekurapa kweSteniusenis mune iyo styloid maitiro eiyo radius. Izvo zvakakodzera kune varwere vane dzinodzokorora Tenosynovitis yeRadius Styloid Stenosis, iyo yanga isingabatsiri mushure mekurapa kwakawanda kwemunharaunda uye mamwe marapirwo ekuchengetedza, uye zviratidzo zvakakomba. Kunyanya muvarwere vane stenotic advancencen tenosynovitis, inodzora kurwadziwa kwakanyanya uye yekufema.
Kuvhiya kwakavhurika: Iyo nguva yekuvhiya yekuvhiya ndeyekuisa nzvimbo yakananga munharaunda yeTenline, kufumura yekutanga tsandanyama, uye kusunungura iyo Tendon kuti tendon inogona kutsvedza mukati meiyo tendon sheath. Kuvhiya kwakazara kwakakura kunokurumidza kuwana, asi kunotakura nhevedzano yenzvimbo dzekuvhiya dzakadai sekutapukira, uye nekuda kwekubviswa kwakananga kweiyo dorsal rutsigiro panguva yekuvhiya, kukanganisa kwerudzi rwechikepe uye vein zvinogona kuitika.
1st Septolyss: Iyi nzira yekuvhiya haina kutema tendon sheath, asi inobvisa cyst yakawanikwa mune iyo yekutanga pakati peiyo Abductor Policis Brevis kusunungura iyo 1st Dorsal ExpenstSorst Septum Septum. Iyi nzira yakafanana nekuvhiyiwa kwakashama, nemusiyano mukuru kuve wekuti mushure mekucheka iyo Extentor Suppt Kunyangwe Tendon Subluxation inogona kunge iripo mune iyi nzira, inodzivirira iyo 1st dorsal Exptenst secent sectum uye ine yekukwira kwenguva refu-nguva yekukwana kwekutadza kupfuura kutongwa kwakananga kwekutongwa kwakananga kweiyo tendon sheath. Iko kukanganisa kwenzira iyi kunonyanya kukonzerwa nenyaya yekuti iyo tendon yeToaton haina kubviswa, uye iyo Tendon Sheath inogona kunge ichiri kuomesa, Edema, uye kupokana neToTon kunotungamira pakudzokorora kwechirwere.
Arthroscopic Osteofibrouts Duct Awerto: Arthoscopic kurapwa kune zvakanakira kushungurudzika, kuchengetedzeka kwakanyanya, kupora kwakanyanya, uye nekuwedzera kwekuwedzera kwekutsigira bhandi haina kugadzirwa, uye hakuzove neisina kubviswa. Nekudaro, kuchine gakava, uye dzimwe nyanzvi dzinofunga kuti kuvhiya kweArthroscop kunodhura uye kupedza nguva, uye zvakanakira kuvhiyiwa kwakazara kwakakura hazvisi pachena zvakakwana. Naizvozvo, kurapwa kweArthroscopic hakuwanzo kusarudzwa neruzhinji rwevanachiremba nevarwere.
Kutumira Nguva: Oct-29-2020
