Altay T, Günal I, Oztürk H
Department of Orthopedics, Dokuz Eylül University Hospitals, Izmir, Turkey.
Clin Orthop Relat Res. 2002 May(398):127-30.
In a prospective randomized study of lateral epicondylitis, 120 patients were treated with 2 mL lidocaine (Group A, n=60) or 1 mL lidocaine combined with 1 mL triamcinolone (Group B, n=60). All injections were done using the peppering technique: after inserting the needle the tender area was peppered with 40 to 50 injections by injecting, withdrawing, redirecting, and reinserting without emerging from the skin. All patients were followed up for 1 year. Fifty-six patients in Group A and 57 patients in Group B had excellent results. There was statistically no difference between the groups. Both groups had excellent results and because the injection of local anesthetics is known to have no long-term effect in the treatment of lateral epicondylitis, the peppering technique seems to be a reliable method of treatment.
在一项关于外侧上髁炎的前瞻性随机研究中，120例患者分别接受2毫升利多卡因治疗（A组，n = 60）或1毫升利多卡因联合1毫升曲安奈德治疗（B组，n = 60）。所有注射均采用点状注射技术：进针后，在不穿出皮肤的情况下，通过注射、退针、调整方向和重新进针，在压痛区域进行40至50次点状注射。所有患者均随访1年。A组56例患者和B组57例患者疗效极佳。两组之间在统计学上无差异。两组均取得了极佳的疗效，并且由于已知局部麻醉剂注射对外侧上髁炎的治疗没有长期效果，因此点状注射技术似乎是一种可靠的治疗方法。
