CAJ | 학술논문

目的：探讨局部封闭及关节镜手术治疗网球肘的临床疗效，为网球肘的微创治疗奠定基础。方法：将2010-06~2012-06收治网球肘病人共60例，平均分为2组，一组行封闭治疗，另一组行关节镜手术治疗，术前及术后行疼痛VAS评分及Mayo肘功能评分，进行对比分析。结果：封闭治疗组与关节镜手术组疼痛VAS评分及Mayo肘功能评分治疗后较治疗前均显著减小(P<0.05)；关节镜手术组Mayo肘功能评分显著低于封闭治疗组(P<0.05)；关节镜手术组临床痊愈率及总有效率显著高于封闭治疗组(P<0.05)。封闭组无效率高于关节镜手术组(P<0.05)。结论：封闭及关节镜手术均是网球肘治疗的有效手段，但关节镜手术的治疗效果优于封闭治疗。
목적：탐토국부봉폐급관절경수술치료망구주적림상료효，위망구주적미창치료전정기출。방법：장2010-06~2012-06수치망구주병인공60례，평균분위2조，일조행봉폐치료，령일조행관절경수술치료，술전급술후행동통VAS평분급Mayo주공능평분，진행대비분석。결과：봉폐치료조여관절경수술조동통VAS평분급Mayo주공능평분치료후교치료전균현저감소(P<0.05)；관절경수술조Mayo주공능평분현저저우봉폐치료조(P<0.05)；관절경수술조림상전유솔급총유효솔현저고우봉폐치료조(P<0.05)。봉폐조무효솔고우관절경수술조(P<0.05)。결론：봉폐급관절경수술균시망구주치료적유효수단，단관절경수술적치료효과우우봉폐치료。
Objective:To investigate the clinical efficacy of the patients with tennis elbow who received the partial block and arthroscopic surgical treatment. Methods:a total of 60 patients ( June 2010~June 2012 ) admitted to tennis elbow were randomly divided into two groups. A set of rows received block treatment,and the other group was underwent arthroscopic surgery. Before surgery and after surgery the pain VAS score and Mayo elbow function score were analyzed. Results:The Mayo elbow pain and VAS score function score of block treatment group and arthroscopic surgery group after treatment were significantly reduced than before treatment,with statistical significance(P<0. 05). Mayo elbow function scores of arthroscopy group was significantly lower than block treatment group ( P<0 . 05 ) . The clinical cure rate and the total effective rate Arthroscopic surgery were significantly higher than the block treatment group(P<0. 05). The inefficiency of block group was higher than arthroscopic surgery group,with statistical significance(P<0. 05). Conclusion:The block and arthroscopic surgery treatment are an effective means of treating tennis elbow, but the therapeutic effect of arthroscopic surgery is superior to block treatment.