富血小板血浆治疗肱骨外上髁炎临床专家共识(2022版)  

Clinical expert consensus on platelet-rich plasma treatment for lateral epicondylitis(2022 version)

作　　者：李箭[1] 崔国庆[2] 何成奇[1] 陈世益[3] 陈柏旭 陈虹[5] 戴雪松[6] 何红晨[1] 康汇[7] 李铁山[8] 李国平[9] 陆九州[3] 马超[10] 唐新[1] 陶军[11] 王洪 向明[13] 邢丹[14] 熊益权 薛庆云 杨睿 袁霆[16] 张强[17] 周敬滨[9] 朱威宏[18] 熊燕[1] 刘岩[1] Li Jian;Cui Guoqing;He Chengqi;Chen Shiyi;Chen Boxu;Chen Hong;Dai Xuesong;He Hongchen;Kang Hui;Li Tieshan;Li Guoping;Lu Jiuzhou;Ma Chao;Tang Xin;Tao Jun;Wang Hong;Xiang Ming;Xing Dan;Xiong Yiquan;Xue Qingyun;Yang Rui;Yuan Tin;Zhang Qiang;Zhou Jingbin;Zhu Weihong;Xiong Yan;Liu Yan(West China Hospital,Sichuan University,Chendu 610041,China;Peking University Third Hospital,Beijing 100081,China;Huashan Hospital fliated to Fudan University,Shanghai 200040,China;Taoyuan Chang Gung Memorial Hospital,Taoyuan 33343,China;First Afiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Second Afiliated Hospital of Zhejang University School of Medicine,Hangzhou 310009,China;"Honghui Hospital,Xi'an Jiaotong University School of Medicine,Xi'an 710054,China;Affliated Hospital of Qingdao University,Qingdao 26000,China;National Institute of Sports Medicine,General Administration of Sport of China,Bejing 10o06l,China;Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangzhou 510120,China;Second Afiliated Hospital of Nanchang University,Nanchang 330006,China;Union Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430022,China;Sichuan Province Orthopedic Hospital,Chengdu 610041,China;Peking University People's Hospital,Bejing 100044,China;Bejing Hospital,Peking University,Bejing 100005,China;Shanghai Sixth Hospial Afiliated to Shanghai Jiao Tong University,Shanghai 200233,China;Chinese PLA General Hospital,Bejing 100080,China;Second Xiangya Hospital of Central South University,Changsha 410011,China)

机构地区：[1]四川大学华西医院,成都610041 [2]北京大学第三医院,北京100081 [3]复旦大学附属华山医院,上海200040 [4]桃园长庚纪念医院,桃园33343 [5]重庆医科大学附属第一医院,重庆400016 [6]浙江大学附属第二医院,杭州310009 [7]西安交通大学医学院附属红会医院,西安710054 [8]青岛大学附属医院,青岛266000 [9]国家体育总局运动医学研究所,北京100061 [10]中山大学孙逸仙纪念医院,广州510120 [11]南昌大学第二附属医院,南昌330006 [12]华中科技大学同济医学院附属协和医院,武汉430022 [13]四川省骨科医院,成都610041 [14]北京大学人民医院,北京100044 [15]北京大学北京医院,北京100005 [16]上海交通大学附属第六人民医院,上海200233 [17]中国人民解放军总医院,北京100080 [18]中南大学湘雅二院,长沙410011

出　　处：《中华创伤杂志》2022年第8期673-680,共8页Chinese Journal of Trauma

基　　金：国家重点研发计划(2018YFF0301100);四川大学华西医院学科卓越发展1.3.5工程项目(ZYGD21005, ZYJC18024)。

摘　　要：肱骨外上髁炎是一种以肘外侧疼痛为特征的临床常见疾病, 发病隐匿, 易复发, 可致前臂疼痛和手腕部力量下降, 严重影响患者日常生活和工作。肱骨外上髁炎治疗方法多样, 效果不一, 目前暂无标准治疗方法。富血小板血浆(PRP)对骨、肌腱修复具有较好效果, 现已广泛用于治疗肱骨外上髁炎, 但PRP治疗肱骨外上髁炎的技术与规范缺乏统一认识。因此, 中华医学会运动医疗分会、中华医学会物理医学与康复学分会组织中国运动医学和康复医学等领域专家制订《富血小板血浆治疗肱骨外上髁炎临床专家共识(2022版)》, 主要从肱骨外上髁炎的概念、流行病学及病理生理、肱骨外上髁炎的症状、体征及影像学表现、PRP概念及应用成分要求、PRP制备技术质控、PRP治疗肱骨外上髁炎的适应证及禁忌证、PRP注射治疗肱骨外上髁炎、PRP在肱骨外上髁炎手术中的应用、PRP治疗肱骨外上髁炎后相关问题、PRP治疗肱骨外上髁炎后结果评估及PRP治疗肱骨外上髁炎卫生经济学评价方面, 提出基于循证医学的建议, 为临床诊治提供指导。Lateral epicondylitis is a common clinical disease with characteristics of lateral elbow pain,insidious onset and easy recurrence,which can cause forearm pain and decreased wrist strength,seriously affecting patients′daily life and work.Although there are various treatment methods for lateral epicondylitis with different effects,standard treatments are still lacking nowadays.Platelet-rich plasma(PRP)has good effects on bone and tendon repair,and is now widely used in the treatment of lateral epicondylitis.However,there is a lack of a unified understanding of the technology and specifications of PRP in the treatment of lateral epicondylitis.Therefore,the Sports Medicine Branch of the Chinese Medical Association and Physical Medicine and Rehabilitation Branch of the Chinese Medical Association organized experts in the fields of sports medicine and rehabilitation medicine in China to formulate the"clinical expert consensus on platelet-rich plasma treatment for lateral epicondylitis(2022 version)",and proposed suggestions based on evidence-based medicine mainly from the concept,epidemiology and pathophysiology of lateral epicondylitis,symptoms,signs and imaging manifestations of lateral epicondylitis,PRP concept and application component requirements,quality control of PRP preparation technology,indications and contraindications of PRP in the treatment of lateral epicondylitis,PRP injection in the treatment of lateral epicondylitis,application of PRP in the operation of lateral epicondylitis,related problems after PRP treatment of lateral epicondylitis,evaluation of the results after PRP treatment of lateral epicondylitis,and health and economic evaluation of PRP treatment of lateral epicondylitis,so as to provide guidance for clinical diagnosis and treatment.

关 键 词：富血小板血浆 肱骨 网球肘 专家共识 

分 类 号：R681[医药卫生—骨科学]