[关键词]
[摘要]
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。
[Key word]
[Abstract]
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 treat-
ment are an effective means of treating tennis elbow，but the therapeutic effect of arthroscopic surgery is
superior to block treatment．
[中图分类号]
R687． 2
[基金项目]
收稿日期: 2013 － 11 － 25; 修回日期: 2014 － 01 － 20
基金项目: 吉林省科技厅国际合作项目资助课题( 20100417)
作者简介: 刘大为( 1975 － ) ，吉林大学第二医院，助理研究员。
通讯作者: 陈雷，教授E － mail: 14902446@ qq． com 长春师范大学， 130041
