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[网球肘的研究进展]

[Research advancement of the tennis elbow].

作者信息

Li Zhi-yao, Zhang Lei

机构信息

Department of Arthroscopy and Sports Medicine, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China.

出版信息

Zhongguo Gu Shang. 2011 Nov;24(11):969-72.

Abstract

Tennis elbow is a common disease. The current research showed that the basic pathology of tennis elbow is not inflammation, but lateral elbow tendinopathy. Ultrasound image has been frequently used for diagnosis of tennis elbow, it can evaluate the condition of disease and show prognosis. Tennis elbow needs a comprehensive treatment. Most patients can obtain satisfactory effects by non-operation, especially the application of the Sodium hyaluronate, autologous blood and botulinum toxin. The principle of operation is to clear the common extensor tendon and repair or rebuild the tendon dead centre if necessarily. The arthroscopic surgery has the advantages of less invasion, rapid recovery,and become the new chioce for the treatment of tennis elbow. Both open operation and arthroscopic surgery can obtain good effects.

摘要

网球肘是一种常见疾病。目前的研究表明,网球肘的基本病理并非炎症,而是外侧肘肌腱病。超声图像已被频繁用于网球肘的诊断,它可以评估病情并显示预后。网球肘需要综合治疗。大多数患者通过非手术治疗可获得满意效果,尤其是透明质酸钠、自体血和肉毒杆菌毒素的应用。手术原则是清理伸肌总腱,必要时修复或重建肌腱止点。关节镜手术具有创伤小、恢复快的优点,已成为治疗网球肘的新选择。开放手术和关节镜手术均可取得良好效果。

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