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自体血液和富血小板血浆注射治疗肱骨外上髁炎

Autologous Blood and Platelet-Rich Plasma Injections for Treatment of Lateral Epicondylitis.

作者信息

Calandruccio James H, Steiner Murphy M

机构信息

Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.

Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.

出版信息

Orthop Clin North Am. 2017 Jul;48(3):351-357. doi: 10.1016/j.ocl.2017.03.011.

Abstract

Lateral epicondylitis (tennis elbow) is a frequent cause of elbow pain; most patients (80%-90%) are successfully treated with standard nonoperative methods (rest, nonsteroidal anti-inflammatory drugs, bracing, and physical therapy). Autologous blood injections and platelet-rich plasma injections are the two most frequently used orthobiologic techniques in the treatment of lateral epicondylitis. Studies of the effectiveness of autologous blood injections and platelet-rich plasma report varying outcomes, some citing significant clinical relief and others reporting no beneficial effect. More research is needed to determine how to best use orthobiologics in the treatment of lateral epicondylitis.

摘要

外侧上髁炎(网球肘)是肘部疼痛的常见原因;大多数患者(80%-90%)通过标准的非手术方法(休息、非甾体抗炎药、支具固定和物理治疗)可成功治愈。自体血注射和富血小板血浆注射是治疗外侧上髁炎最常用的两种矫形生物治疗技术。关于自体血注射和富血小板血浆有效性的研究报告结果各异,一些研究表明有显著的临床缓解效果,而另一些则报告无有益效果。需要更多研究来确定如何在外侧上髁炎的治疗中最佳地使用矫形生物制剂。

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