超声引导下经皮针刺伸肌总腱治疗肱骨外上髁炎  

Ultrasound-guided percutaneous common extensor tendon needling for lateral epicondylitis of humerus

作　　者：谭丽[1] 郭璇妍[1] 陈凯[1] 全杰荣 张惠[1] TAN Li;GUO Xuanyan;CHEN Kai;QUAN Jierong;ZHANG Hui(Department of Ultrasound, Sichuan Academy of Medical Science & Sichuan Provincial People's Hospital, Chengdu 610072, China)

机构地区：[1]四川省医学科学院·四川省人民医院超声科,四川成都610072

出　　处：《中国介入影像与治疗学》2020年第9期552-555,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察超声引导下经皮针刺伸肌总腱治疗肱骨外上髁炎的效果。方法对68例肱骨外上髁炎患者行超声引导下经皮针刺伸肌总腱,治疗后随访,观察并发症,对比治疗前、治疗后1个月及6个月视觉模拟评分(VAS)和网球肘评分。结果针刺治疗后3天,64例(64/68,94.12%)疼痛症状加重,1~2周后均逐渐好转。平均随访(9.74±1.95)个月,68例均未因握力减弱而影响劳动及生活;治疗及随访期间无神经损伤、感染及出血等并发症。治疗前、治疗后1个月及6个月VAS及网球肘评分差异均有统计学意义(P均<0.001);治疗后1、6个月VAS均较治疗前降低(P均<0.001),且治疗后6个月低于治疗后1个月(P<0.001)。治疗后1、6个月网球肘评分均较治疗前升高(P均<0.001),但治疗后1个月与6个月差异无统计学意义(P>0.05)。结论超声引导下经皮伸肌总腱针刺治疗肱骨外上髁炎的效果及安全性均较好。Objective To observe the efficacy of ultrasound-guided percutaneous common extensor tendon needling for lateral epicondylitis(LE).Methods Totally 68 LE patients underwent ultrasound-guided percutaneous common extensor tendon needling and were followed up after operation.Complications were observed,and visual analogue score(VAS)and tennis elbow score before treatment,1 month and 6 months after treatment were compared.Results Three days after needling therapy,64 patients(64/68,94.12%)complained of aggravation of pain,but pains gradually releases within 1-2 weeks.All 68 patients were followed up for an average of(9.74±1.95)months,no grip strength weakened nor affected labor and life was observed.No nerve injury,infection,bleeding or other complications occurred.There were statistically significant differences of VAS scores and tennis elbow scores before,1 month and 6 months after treatment(both P<0.001).VAS scores significantly decreased 1 and 6 months after treatment compared with before treatment(both P<0.001),and at 6 months post treatment was lower than 1 month after treatment(P<0.001).Tennis elbow score significantly increased 1 month and 6 months after treatment compared with before treatment(both P<0.001),but no significant difference was found between 1 month and 6 months after treatment(P>0.05).Conclusion Ultrasound-guided percutaneous extensor tendon needling has good efficacy and safety in treatment of LE.

关 键 词：网球肘 肌腱病 超声检查 针刺治疗 

分 类 号：R739.5[医药卫生—肿瘤] R445.1[医药卫生—临床医学]