目的观察痛点阻滞与小针刀治疗梨状肌综合征的临床观察。方法将118例梨状肌综合征的患者,随机分为两组,A组为治疗组72例,在透视下采用小针刀加痛点阻滞法;B组为对照组46例,采用镇痛液局部痛点阻滞。结果A组和B组有效者分别为70例(97.2%)与34例(73.9%),A组有效率明显高于B组(P<0.05);复发者A组1例(1.3%),B组12例(26.0%),A组明显低于B组(P<0.05)。结论在梨状肌综合征的非手术治疗方法中,透视下痛点阻滞加小针刀治疗,疗效好,并且优于单纯痛点阻滞法。 Objective To observe the pain point block and small needle knife treatment of piriformis syndrome clinical observation. Methods One hundred and eleven cases of piriformis syndrome were randomly divided into two groups. A group was treated 72 cases, under the perspective of a small needle knife plus pain point block method; B group 46 cases of control group, the use of analgesia Pain local pain point block. Results The effective rates in group A and group B were 70 (97.2%) and 34 (73.9%) respectively, the effective rate in group A was significantly higher than that in group B (P <0.05) B group 12 cases (26.0%), A group was significantly lower than the B group (P <0.05). Conclusion In the non-operative treatment of piriformis syndrome, pain point under fluoroscopy and small needle knife treatment, good effect, and better than the simple pain point block method.