高频超声检查对网球肘的诊断价值及定期随访的临床意义

Value of high frequency ultrasonography in diagnosi of tennis elbow and regular follow-up of impo rtant clinical significance

目的：探讨高频超声检查对网球肘的诊断价值以及定期随访的重要临床意义，以提高网球肘的治愈率。方法：选择80例网球肘患者分为观察组和对照组，对照组常规治疗，治疗前不行超声检查，观察组实施高频超声检查后对症治疗；2组均采用SAS做出评估以判断2组患者病情改善情况。第1次治疗后，再将观察组40例分为定期随访组与非随访组，定期随访组每2周做1次肘关节的超声检查，共随访4次，依超声检查结果，调整治疗方案，非定期随访组4周后做1次肘关节的超声检查，指导临床治疗，2组也采用SAS做出评估以判断2组患者病情改善情况。结果：观察组实施高频超声检查后对症治疗，较对照组患者SAS评分明显降低，结果具有统计学意义（P＜0．05）；观察组中定期随访组较非随访组SAS评分也明显降低，结果具有统计学意义（P＜0．05）。结论：高频超声检查对网球肘的诊断具有重要的临床价值，而且定期随访对于网球肘的治疗及预后也有重要的临床意义，这2种方法值得临床广泛地应用普及。

Objectiev：To explore the value of high frequency ultrasonography in diagnosis of tennis elbow and regular follow -up of im-portant clinical significance, in order to improve the cure rate of tennis elbow .Mtehods：80 cases of tennis elbow were selected and divid -ed into observation group and control group, control group received routine treatment,the treatment not before ultrasound examination , ob-servation group implementation of high-frequency ultrasound examination and symptomatic treatment ; the two group SAS were used to make assessment to determine the two groups of patients with improvement.After the first treatment,and the observation group of 40 cases were divided into regular follow-up group and non follow-up group, regular follow-up group every two weeks the elbow ultrasonic ex-amination, there were four, in accordance with the ultrasound examination results, and adjust the treatment plan, non regular follow-up group around after a elbow ultra sound check, to guide the clinical treatment, two group also uses SAS to make assessment to determine the two groups of patients with improvement.Results： The observation group to implement high frequency ultrasonography after symptomatic treatment, compared with the control group of patients with SAS was significantly reduced, the results were statistically significant （P〈0. 05）;in the observation group than in the non regular follow-up group follow-up group SAS scores were significantly reduced, the re-sults were statistically significant （P〈0.05）.Conclusion：It had an important clinical value of high frequency ultrasonography in diagno -sis of tennis elbow,but also had the important clinical significance of regular follow -up treatment and prognosis for tennis elbow, the two kind of method should be worthy of clinical popularization and application widely.