难治性肱骨外上髁炎的外科治疗

目的：探讨难治性肱骨外上髁炎的手术治疗效果。方法：2007年1月—2009年3月，我科行外科手术治疗难治性肱骨外上髁炎患者ll例，采用小切口剥离并切除伸肌总腱的手术治疗方法，术后4周通过VAS和Mayo肘关节评分对患者进行随访，评估患肘疼痛和功能改善情况。结果：男性4例，女性7例。患者平均年龄36.4岁，术后4周进行随访，术前VAS评分为（73.2±4.1）分，术后4周随访时VAS评分为（19.6±5.8）分，两者差异有统计学意义（P〈0.01）；术前Mayo肘关节功能评分为（62.4±3.3）分，术后随访时Mayo肘关节功能评分为（89.6±4.2）分，两者差异有统计学意义（P〈O．05）。随访时肘关节均恢复正常活动范围。结论：外科治疗难治性肱骨外上髁炎可以有效改善肘关节疼痛和恢复关节活动，手术效果好。

Surgical Treatment of Refractory Lateral Epicondylitis

Objective To evaluate the surgical results of 11 refractory lateral epicondylitis. Methods We performed a retrospective follow-up study of elbows treated with mini-tenotomy and debridement for lateral epicondylitis from January, 2007 to March, 2009. A visual analog scale（VAS）was used to evaluate the degree of pain pre-and posttreatment at four weeks. Elbow function improvement were evaluated with Mayo scores. Results Four out of 11 were male patients. The mean age was 36.4 years old. At 4 weeks posttreatment, VAS scores were significantly reduced compared with the pretreatment score（P 〈 0.01）. The Mayo scores increased from （62.4_＋3.3） preoperatively to （89.6_＋4.2） at the follow-up（P 〈 0.05）. Every elbow achieved its maximal movement at four weeks after surgery. Conclusion The present results indicate that mini-tenotomy could be a promising treatment for refractory lateral epicondylitis.