网球肘研究新进展  

Research advancement of the tennis elbow

作　　者：李智尧[1] 张磊[1] 

机构地区：[1]中国中医科学院望京医院关节镜科,北京100102

出　　处：《中国骨伤》2011年第11期969-972,共4页China Journal of Orthopaedics and Traumatology

摘　　要：网球肘是临床上的常见病。近年来发现此病的病理基础并非炎症,肘关节外侧腱病的提法得到了大多数学者的认同。网球肘诊断比较容易,特别是近年来超声在网球肘的诊断方面应用越来越多,可以更加准确地评价病情,并能提示预后。网球肘需要综合治疗措施,大多数患者能通过非手术治疗获得较好的疗效,特别是近年来肉毒素、自体血和玻璃酸钠的应用,给网球肘的非手术治疗开辟了新的思路。对于慢性顽固性网球肘,手术治疗是有效的手段。手术的原则为清理伸肌总腱止点变性撕裂组织,必要时修复重建其止点。关节镜下手术成为近年来的新趋势,具有创伤小、恢复快的优点。不论切开手术还是关节镜手术,均能获得较好的疗效。Tennis elbow is a common disease. The current research showed that the basic pathology of tennis elbow is not inflammation, but lateral elbow tendinopathy. Ultrasound image has been frequently used for diagnosis of tennis elbow, it can e- valuate the condition of disease and show prognosis. Tennis elbow needs a comprehensive treatment. Most patients can obtain satisfactory effects by non-operation, especially the application of the Sodium hyaluronate, autologous blood and botulinum tox- in. The principle of operation is to clear the common extensor tendon and repair or rebuild the tendon dead centre if necessarily. The arthroscopic surgery has the advantages of less invasion, rapid recovery, and become the new chioce for the treatment of tonnis elbow.Both open operation and arthrosecopic urgery can obtain good effects.

关 键 词：网球肘 腱 综述文献 

分 类 号：R681.7[医药卫生—骨科学]