Volume 23 Issue 9
Sep.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(9): 1569-1572
ZHANG Li, YANG Mei, WANG Yuan, DU Fenfei. Comparison of the efficacy of ultrasound-guided acupotomy visualization and traditional blind acupotomy in the treatment of carpal tunnel syndrome[J]. Chinese Journal of General Practice, 2025, 23(9): 1569-1572. doi: 10.16766/j.cnki.issn.1674-4152.004179
Citation: ZHANG Li, YANG Mei, WANG Yuan, DU Fenfei. Comparison of the efficacy of ultrasound-guided acupotomy visualization and traditional blind acupotomy in the treatment of carpal tunnel syndrome[J]. Chinese Journal of General Practice, 2025, 23(9): 1569-1572. doi: 10.16766/j.cnki.issn.1674-4152.004179
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Comparison of the efficacy of ultrasound-guided acupotomy visualization and traditional blind acupotomy in the treatment of carpal tunnel syndrome

doi: 10.16766/j.cnki.issn.1674-4152.004179

  • Rehabilitation Department, Dongyang People's Hospital, Dongyang, Zhejiang 322100, China

Funds:

 2023ZL749

 2022ZH065

  • Received Date: 2025-03-28
    Available Online: 2025-11-17
    Abstract
  •   Objective  Ultrasound visualization provides technical support for the precise application of acupotomy in treatment of carpal tunnel syndrome (CTS). This study explores the application advantages of ultrasound-guided acupotomy in the treatment of CTS compared with traditional blind acupotomy.  Methods  A total of 94 patients with CTS who received acupotomy therapy at the Department of Rehabilitation in Dongyang People ' s hospital from January 2022 to February 2025 were enrolled. According to different treatment methods, they were divided into a control group (receiving traditional blind acupotomy therapy) and an ultrasound group (receiving ultrasound-guided acupotomy therapy), with 47 cases in each group. They were both received twice treatment sessions and followed up for 4 weeks. Pain visual analogue scale (VAS) scores, ultrasonic measurements [thickness of transverse carpal ligament (TTCL), median nerve cross-sectional area (CSA), and anterior and posterior diameter of median nerve (D) in the cross section of uncinate bone], EMG measurements [median nerve end motor latency (DML), median sensory nerve conduction velocity (SNCV), and compound muscle action potential (CMAP)] were compared between the two groups before and after treatment. Pre- and post-treatment comparisons were performed to evaluate the therapeutic efficacy and the complications.  Results  The VAS scores of numbness and pain in daytime and nighttime after treatment were lower than those before treatment (P < 0.05). In addition, the daytime [(2.04±0.61) points vs. (2.61±0.70) points] and nighttime numbness VAS scores [(2.23±0.64) points vs. (2.87±0.75) points] of the ultrasound group were lower than those of the control group (P < 0.05), respectively. After treatment, TTCL, CSA, D, and DML were significantly decreased, while SNCV and CMAP were higher than before treatment (P < 0.05). Improvements were more pronounced in the ultrasound group than in the control group, while SNCV and CMAP were higher than control group (P < 0.05). The therapeutic grade composition of the ultrasound group was better than that of the control group (Z=4.506, P=0.003), with no significant difference in the complication rates between the two groups (P>0.05).  Conclusion  Compared with traditional blind acupotomy, ultrasound-guided acupotomy provides better symptoms relief of numbness and pain in CTS patients, improves the ultrasonography and EMG indicators, and improves clinical efficacy.

     

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