基于压痛点关节外操作的关节镜手术治疗顽固性肱骨外上髁炎  

Treating intractable lateral epicondylitis by extracurricular arthroscopic operation based on pressure point

作　　者：李琪 李豹 姜刚毅 蔡春元 杨国敬 LI Qi;LI Bao;JIANG Gang-yi;CAI Chun-yuan;YANG Guo-jing(YANG Guo-jing)

机构地区：[1]温州医科大学附属第三医院骨科,浙江瑞安325200

出　　处：《中国骨伤》2019年第1期48-51,共4页China Journal of Orthopaedics and Traumatology

基　　金：温州市科技计划项目(编号:Y20140395);浙江省中医药科学研究基金项目(编号:2010ZB140)~~

摘　　要：目的:探讨基于压痛点关节外操作的关节镜手术治疗顽固性肱骨外上髁炎的临床疗效。方法:自2015年10月至2017年9月收治顽固性肱骨外上髁炎患者19例,男7例,女12例;年龄33～62(43.16±8.12)岁;保守治疗时间为7～41(15.47±7.08)个月。19例均采用基于压痛点关节外操作的关节镜手术治疗。观察患者术后并发症情况,术前及术后3个月随访时采用VAS评分、Mayo功能评分进行临床疗效评价。结果:所有患者获得随访,时间6～26(17.16±5.25)个月。术后无感染、皮肤坏死和神经损伤发生。术后6个月无综合握力减弱。VAS评分由术前的4.42±1.17降至至术后3个月的0.53±0.61;Mayo功能评分由术前的62.63±7.88提高至术后3个月的93.42±5.28;根据Mayo功能评分,优17例,良2例。结论:基于压痛点关节外操作的关节镜手术治疗顽固性肱骨外上髁炎采用关节外操作处理关节外主要病变,解剖层次易于理解,视野良好,清理彻底,疗效确切,操作安全。Objective:To evaluate clinical efficaly of intractable lateral epicondylitis by extracurricular arthroscopic operation based on pressure point.Methods:From October 2015 to September 2017,19 patients with intractable lateral epicondylitis were treated with extraarticylar arthroscopic operation based in pressure point.Among patients,including 7 males and 12 females,aged from 33 to 62 years old with an average of(43.16±8.12)years old,The courses of conservative treatment ranged from 7 to 41 months,with an average of(15.47±7.08)months.Postoperative complications were observed,VAS score and Mayo score before and after operation at 3 months were observed and compared.Result:All patients were followed up from 6 to 26 months,with an average(17.16±5.25)months.No infection,skin necrosis and nerve injury occurred.No group weakness occurred within six months after operation.VAS score decreased from 4.42±1.17 before operation to 0.53±0.61 after operation at 3 months.Mago was improved from 62.63±7.88 before operation to 93.42±5.28 after operation at 3 months.According to Mayo score,17 cases got excellent results,and 2 cases were good.Conclusion:Intractable lateral epicondylitis by arthroscopic extracurricular operation based on pressure point,which deal with main extracurricular root cause,could anatomical level is understand easily,field of vision is good and diseased tissue is cleaned up thoroughly,and has obvious curative effect.

关 键 词：肘关节 关节镜 网球肘 

分 类 号：R684.3[医药卫生—骨科学]