Observation Of Needle-knife In Treatment Of Common Peroneal Nerve Entrapment Syndrome

Objective: In this study,by comparing the therapeutic effects of needle-knife treatment and block treatment of common peroneal nerve entrapment syndrome,the changes of visual analog scale(VAS score),conduction velocity and amplitude of common peroneal nerve,active dorsiflexion activity of ankle joint,peripheral nerve movement and sensory function evaluation indexes before and after treatment were observed,so as to verify that needle-knife treatment of common peroneal nerve entrapment syndrome has good efficacy in improving clinical symptoms,efficacy indexes and functional recovery of patients,and provide real,objective and reliable data for future studies on the treatment of common peroneal nerve entrapment syndrome,and confirm the efficacy and feasibility of needle-knife treatment of common peroneal nerve entrapment syndrome.Methods: Collected between January 2019 and January 2021 in our hospital orthopedics outpatient clinic and 60 patients with this disease diagnosis standard,select random number table method is divided into two groups,each group 30 cases(needle knife group,block group),needle knife group adopted in musculoskeletal ultrasound guided needle knife therapy after the local infiltration anesthesia,The block group was treated with 2%lidocaine hydrochloride injection 2ml+ compound betamethasone injection(1ml:5mg:2mg)+ sterilized injection water 2ml for local sealing under the guidance of musculoskeletal ultrasound.VAS score,peroneal nerve conduction velocity and amplitude,active dorsal extension of the ankle,peripheral nerve motor and sensory function were used as the efficacy evaluation indexes.IBM SPSS 22.0 was used to process the clinical study data of each group to compare and evaluate the difference in the efficacy of each therapy intervention for this disease.Results: 1.After treatment,the VAS scores in both groups decreased to varying degrees,and the pain in both groups was significantly improved.The improvement of VAS scores in the needle-knife group was better than that in the block group(P<0.01),with significant statistical significance.2.After treatment,the peroneal nerve conduction velocity and amplitude increased in both groups,and the improvement of the peroneal nerve conduction velocity in the acupotomy group was better than that in the block group(P<0.001),which was statistically significant.The improvement of amplitude in the needle-knife group was better than that in the block group(P<0.01),with significant statistical significance.3.After treatment,the active dorsiflexion activity of the ankle joint increased to varying degrees in both groups,and the functional recovery was improved.The improvement of the active dorsiflexion activity of the ankle joint in the needle-knife group was better than that in the block group(P<0.001),with significant statistical significance.4.After treatment,the peripheral nerve motor and sensory function levels of patients in both groups were improved to varying degrees,and the improvement of peripheral nerve motor and sensory function levels in the needle-knife group was superior to that in the block group(P< 0.01),with significant statistical significance.Conclusion: 1.Needle-knife treatment of common peroneal nerve entrapment syndrome can significantly improve clinical indicators such as VAS score,nerve conduction velocity and amplitude,active dorsiflexion range of ankle,and motor and sensory function grades.2.Needle-knife treatment of common peroneal nerve entrapment syndrome can significantly improve the clinical symptoms of patients.3.Needle-knife treatment of common peroneal nerve entrapment syndrome has less injury,no obvious side effects,relatively accurate efficacy and high operability,which is worthy of clinical application and promotion.