局部封闭联合小针刀治疗肱骨外上髁炎59例疗效观察

Efficacy observation on external humeral epicondylitis treated with local block and small needle knife

目的观察局部封闭联合小针刀治疗肱骨外上髁炎的疗效。方法 177例肱骨外上髁炎患者,随机分为单纯封闭组、小针刀组和联合治疗组,每组59例。单纯封闭组采用单纯局部封闭治疗,小针刀组采用小针刀治疗,联合治疗组采用局部封闭联合小针刀治疗。术后随访6个月,比较三组患者二次治疗情况及治疗效果。结果联合治疗组二次治疗患者例数明显少于单纯封闭组、小针刀组,差异具有统计学意义(P<0.05)。联合治疗组痊愈率高于单纯封闭组、小针刀组,差异具有统计学意义(P<0.05);联合治疗组总有效率为96.6%,高于单纯封闭组的86.4%,差异具有统计学意义(P<0.05);联合治疗组总有效率与小针刀组比较差异无统计学意义(P>0.05)。结论局部封闭联合小针刀治疗肱骨外上髁炎疗效显著且复发率低,可作为临床治疗肱骨外上髁炎的一种有效方法。

Objective To observe the efficacy of local block and small needle knife in the treatment of external humeral epicondylitis. Methods A total of 177 patients with external humeral epicondylitis were randomly divided into simple block group, small needle knife group and combined therapy group, with 59 cases in each group. Simple block group received simple block for treatment, small needle knife group received small needle knife for treatment, and combined therapy group received local block and small needle knife for treatment. The patients were followed up for 6 months after operation, and the second treatment condition and treatment effects of two groups were compared between the three groups. Results Combined therapy group had obviously less cases of second treatment than simple block group and small needle knife group, and the difference was statistically significant（P〈0.05）. Combined therapy group had obviously higher cure rate than simple block group and small needle knife group, and their difference was statistically significant（P〈0.05）. Combined therapy group had higher total effective rate as 96.6% than 86.4% in simple needle block group, and the difference was statistically significant（P〈0.05）. Combined therapy group had no statistically significant difference in total effective rate comparing with small knife group（P〉0.05）. Conclusion Combination of local block and small needle knife shows remarkable efficacy in treating external humeral epicondylitis with lower recurrence rate, and it can be taken as an effective method for clinical treatment of external humeral epicondylitis.