关节镜下关节外操作治疗顽固性网球肘*

Obstinate tennis elbow treated by arthroscopic extraarticular operation*

摘要:

探究关节镜下关节外操作治疗顽固性网球肘的临床疗效。方法 2015年9月－2017年11月连续收治顽固性网球肘患者21例（21例肘）。其中，男8例，女13例，手术时患者年龄33~62岁，平均43岁；保守治疗时间为7~41个月，平均15.0个月。21例顽固性网球肘均采用关节镜下关节外操作手术治疗。结果 21例患者均获随访，随访时间6~26个月，平均17.3个月，无感染和神经损伤等严重并发症。21例在视觉模拟评分（VAS）、Mayo肘关节功能评分（MEPS）及外上髁压痛点压痛程度等方面术前术后有明显差异；19例对治疗结果非常满意，2例对治疗结果满意，无不满意病例。结论 关节镜下关节外操作治疗顽固性网球肘，手术方式直观、安全，临床效果满意。

Abstract:

To evaluate the effect of arthroscopic extraarticular operation in treatment of obstinate tennis elbow. Methods From September 2015 to November 2017, 21 patients of obstinate tennis elbow were treated consecutively. There were 8 males and 13 females, ranging in age from 33~62 years old, with average of 43 years old, and ranging in conservative treatment time from 7~41 months, with average of 15.0 months. 21 patients (total 21 elbows) of obstinate tennis elbow were treated by arthroscopic extraarticular operation. Result All the patients were followed up, and the duration ranged from 6~46 months, with an average of 17.3 months. There was no infection or nerve injury. MEPS, VAS score and main tenderness point tenderness degree were significant differences between preoperative and postoperative. 19 cases were satisfied greatly with treatment results, 2 cases satisfied, 0 case unsatisfied. Conclusion Treating obstinate tennis elbow using arthroscopic extraarticular operation has thorough therapeutic effect. The procedure is intuitive and safe.