封闭与关节镜手术治疗网球肘的疗效观察

目的：探讨局部封闭及关节镜手术治疗网球肘的临床疗效，为网球肘的微创治疗奠定基础。方法：将2010-06～2012-06收治网球肘病人共60例，平均分为2组，一组行封闭治疗，另一组行关节镜手术治疗，术前及术后行疼痛VAS评分及Mayo肘功能评分，进行对比分析。结果：封闭治疗组与关节镜手术组疼痛VAS评分及Mayo肘功能评分治疗后较治疗前均显著减小（P〈0.05）；关节镜手术组Mayo肘功能评分显著低于封闭治疗组（P〈0.05）；关节镜手术组临床痊愈率及总有效率显著高于封闭治疗组（P〈0.05）。封闭组无效率高于关节镜手术组（P〈0.05）。结论：封闭及关节镜手术均是网球肘治疗的有效手段，但关节镜手术的治疗效果优于封闭治疗。

EFFICACY OF TREATING TENNIS ELBOW BY BLOCK AND ARTHROSCOPIC SURGERY

Objective：To investigate the clinical efficacy of the patients with tennis elbow who received the partial block and arthroscopic surgical treatment. Methods：a total of 60 patients （ June 2010--June 2012 ） admitted to tennis elbow were randomly divided into two groups. A set of rows received block treatment,and the other group was underwent arthroscopic surgery. Before surgery and after surgery the pain VAS score and Mayo elbow function score were analyzed. Results：The Mayo elbow pain and VAS score function score of block treatment group and arthroscopic surgery group after treatment were significantly reduced than before treatment,with statistical significance（P〈0. 05）. Mayo elbow function scores of arthroscopy group was significantly lower than block treatment group （ P〈0 . 05 ） . The clinical cure rate and the total effective rate Arthroscopic surgery were significantly higher than the block treatment group（P〈0. 05）. The inefficiency of block group was higher than arthroscopic surgery group,with statistical significance（P〈0. 05）. Conclusion：The block and arthroscopic surgery treatment are an effective means of treating tennis elbow, but the therapeutic effect of arthroscopic surgery is superior to block treatment.