CAJ | 학술논문

目的：探讨针刀结合手法与单纯手法治疗网球肘的不同效果。方法选择2012年1月～2014年1月网球肘患者62例，随机分为两组，针刀组采用2%利多因加强的松龙作痛点封闭，之后用4号针刀剥离并切断肘关节伸指肌总腱起点附着处和半环形部分，切断局部微血管神经束，对照组采用单纯手法治疗，比较两组疗效。结果针刀组优良率85.29%，对照组优良率46.43%，P＜0.05，差异具有统计学意义。针刀组的握力、压痛、肘关节功能等评分优于对照组，P＜0.05，差异具有统计学意义。结论针刀治疗网球肘效果比单纯手术治疗疗效理想。
목적：탐토침도결합수법여단순수법치료망구주적불동효과。방법선택2012년1월～2014년1월망구주환자62례，수궤분위량조，침도조채용2%리다인가강적송룡작통점봉폐，지후용4호침도박리병절단주관절신지기총건기점부착처화반배형부분，절단국부미혈관신경속，대조조채용단순수법치료，비교량조료효。결과침도조우량솔85.29%，대조조우량솔46.43%，P＜0.05，차이구유통계학의의。침도조적악력、압통、주관절공능등평분우우대조조，P＜0.05，차이구유통계학의의。결론침도치료망구주효과비단순수술치료료효이상。
Objective To study the needle knife combination technique and simple technique different effect for the treatment of tennis elbow.Methods Selected 62 patients with tennis elbow from January 2012 to January 2014, were randomly divided into two groups, the needle knife group because of more than 2%, and prednisolone closed, after stripping with 4 needle knife and cut the elbow and the starting point refers to the total muscle tendon adhesion and half ring parts, to cut off the local microvascular nerve bundle, the control group treated by simple technique, compared two groups of curative effect.Results Needle knife group was 85.29%, the control group was 46.43%, the difference between the two groups have statistical signiifcance. Grip strength and tenderness of needle knife group, the elbow joint function score is better than that of control group, the differences between the two groups have statistical significance.Conclusion Needle knife in the treatment of tennis elbow effect than simple operative curative effect is ideal.