网球肘的分型及针刀治疗体会  

Small needle-knife for the treatment of tennis elbow according to its classification

作　　者：朱胤晟[1] 姚新苗[2] 吕一[2] 

机构地区：[1]浙江中医药大学第三临床医学院,浙江杭州310053 [2]浙江中医药大学附属第三医院,浙江杭州310005

出　　处：《中国骨伤》2013年第8期659-662,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的:观察对不同分型网球肘运用小针刀给予不同治疗的临床疗效。方法:2011年3月至2012年12月共治疗网球肘100例(123肘),男36例,女64例;年龄29～76岁,平均49岁;病史3个月～2年,平均7.2个月。根据患者临床症状和体征将网球肘分为3型:关节外型46例,关节内型34例,关节内外混合型20例。采用针刀根据不同类型分别进行治疗。结果:所有患者获随访,时间6～12个月,平均8.2个月,患者症状体征治疗前后比较,差异有统计学意义。根据Verhaar肘关节疗效评估标准,关节外型46例,优35例,良9例,可2例;关节内型34例,优24例,良9例,可1例;混合型20例,优9例,良8例,可3例。结论:在临床工作中不能用单一的发病机制来解释网球肘的病因,应将网球肘进行分型,并针对不同的分型给予不同的治疗,从而提高网球肘的治愈率。Objective：To observe clinical effect of different treatments for tennis elbow with small needle-knife according to its classification. Methods：From March 2011 to December 2012,100 patients with 123 tennis elbows were treated with small needle-knife,including 36 males and 64 females,ranging in age from 29 to 76 years old （averaged,49 years old）. The course of disease ranged from 3 months to 2 years （averaged,7.2 months）. According to the classification,46 elbows were with extra-articular type,34 elbows with intra articular type,20 elbows with mixed type. All the patients were treated with small needle-knife by using different methods according to its classification. Results：All patients were followed up for 6 to12 months with an average of 8.2 months. After treatment,the symptoms and signs of the patients improved significantly （P0.01）. According to the criteria of the Verhaar scoring system,35 of 46 patients with extra articular type got an excellent result,9 good,2 fair; 24 of 34 patients with intra articular type got an excellent result,9 good,1 fair;9 of 20 patients with mixed type got an ex- cellent result,8 good ,3 fair. Conclusion：The causes of tennis elbow can not be explained by single pathogenesy ,the patients with tennis elbow should be treated with different methods according to its classification ,and the therapeutic effects can be improved.

关 键 词：针刀 网球肘 分类法 肘关节 

分 类 号：R681.53[医药卫生—骨科学]