关节镜下治疗顽固性肱骨外上髁炎

Arthroscopy in the treatment of refractory lateral epicondylitis

摘要:

目的：讨论关节镜下顽固性肱骨外上髁炎手术临床疗效。方法：我科于2009年1月至2010年12月对20例经保守治疗无效的肱骨外上髁炎，在关节镜下行桡侧腕短伸肌腱、外上髁清理术等相关治疗。术后应用视觉疼痛模拟评分（visual ana－logue scale，VAS）评估患肘改善情况。结果：本组病例获全部随访，时间6~21个月，平均13个月。应用VAS疼痛评分评价，术前、术后相比较，差异均有统计学意义（P＜0.001）。结论：关节镜下治疗顽固性肱骨外上髁炎可直接处理病灶，同时处理关节内病损，创伤小，恢复快，是有效的疗法。

Abstract:

Objective：To evaluate the clinical efficacy of arthroscopy in the treatment of refractory lateral humeral epicondylitis. Methods：From January 2009 to December 2010，arthroscopic surgery was performed in 20 cases of humeral epicondylitis which was ineffective by conservative treatment. Postoperative visual analogue scale（VAS） was used to evaluate the elbow improvement. Results：All patients accepted 6 to 21 months follow-up，with an average of 13 months. VAS pain score evaluation was conducted and preop－erative and postoperative results were compared with statistically significant differences（P＜0.001）. Conclusion：With the advantages of minimally invasiveness and quick recovery，arthroscopy is effective in the treatment of refractory lateral humeral epicondylitis be－cause it can directly deal with lesions and intra-articular lesions simultaneously.