论文部分内容阅读
目的探讨超声引导下乙醇注射(ultrasound-guided alcohol injection,USGAI)治疗莫顿神经瘤的疗效。方法莫顿神经瘤患者47例(55个肿瘤),行USGAI治疗,对USGAI治疗4次后症状未缓解者行手术治疗;分别于USGAI治疗前、后行疼痛视觉模拟评分(visual analogue scale,VAS),记录不良反应的发生情况。结果 47例行USGAI治疗2~4次,其中2次12例,3次23例,4次7例,5例治疗4次后症状未缓解行手术治疗;USGAI治疗后VAS评分[(3.6±3.3)分]较治疗前[(8.7±1.3)分]降低(P<0.05);USGAI治疗过程中出现局部炎症反应2例,经对症治疗后缓解。结论USGAI可有效缓解莫顿神经瘤患者症状,可作为拒绝接受手术及手术高风险患者的替代治疗方法。
Objective To investigate the efficacy of ultrasound-guided alcohol injection (USGAI) in the treatment of Morton’s neuroma. Methods Forty-five patients with Morton’s neuroma were treated with USGAI and were treated with USGAI for 4 times without symptoms. The visual analogue scale (VAS) was performed before and after USGAI treatment. ), Record the occurrence of adverse reactions. Results 47 patients underwent USGAI for 2 to 4 times, including 12 cases in 2 cases, 23 cases in 3 cases, 7 cases in 4 cases and 5 cases in 4 cases. The VAS score [(3.6 ± 3.3) ) Points were lower than those before treatment [(8.7 ± 1.3) points] (P <0.05). Two cases of local inflammatory reaction occurred during USGAI treatment and were relieved after symptomatic treatment. Conclusion USGAI can effectively relieve the symptoms of Morton’s neuroma patients, and can be used as an alternative treatment for those patients at high risk of rejection surgery and surgery.