肱骨外上髁炎的手术治疗：已发表文献的范围综述
Surgical management of lateral epicondylitis: a scoping review of published literature.
作者信息
Muir Duncan, Blakeway Helena, Morris Richard, Narvani Ali A, Elgebaly Ahmed, Imam Mohamed A
机构信息
Rowley Bristow Orthopaedic Unit, Chertsey, UK.
Smart Health Unit, University of East London, London, UK.
出版信息
JSES Rev Rep Tech. 2024 Aug 31;5(1):79-85. doi: 10.1016/j.xrrt.2024.08.008. eCollection 2025 Feb.
BACKGROUND
Surgical intervention for lateral epicondylitis remains a controversial topic, with its purpose being debated. Recent guidelines have concluded no benefit from surgery when compared to conservative management.
METHODS
An electronic database search of Ovid Medline via PubMed, EMBASE, and the Web of Science was performed to understand the published literature further.
RESULTS
35 studies incorporating 1564 patients were included. This included 12 trials and 23 observational studies. Most studies reported the benefits of surgery in pain and function despite the majority of studies using a variety of outcome measures.
CONCLUSION
Surgery is reported to treat lateral epicondylitis successfully. However, multicenter studies have yet to be published, and the low number of included patients means that further evidence is required to conclude management.
背景
外侧上髁炎的手术干预仍是一个有争议的话题，其目的存在争议。最近的指南得出结论，与保守治疗相比，手术并无益处。
方法
通过PubMed、EMBASE和科学网对Ovid Medline进行电子数据库检索，以进一步了解已发表的文献。
结果
纳入了35项研究，共1564例患者。其中包括12项试验和23项观察性研究。尽管大多数研究使用了多种结局指标，但大多数研究报告了手术在疼痛和功能方面的益处。
结论
据报道，手术可成功治疗外侧上髁炎。然而，多中心研究尚未发表，纳入患者数量较少意味着需要更多证据来确定治疗方案。
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