等离子刀与针刀疗法治疗顽固性肱骨外上髁炎的临床观察

发布时间：2018-04-01 03:29

本文选题：顽固性肱骨外上髁炎　切入点：等离子刀　出处：《黑龙江中医药大学》2016年硕士论文

【摘要】：目的：通过临床观察低温等离子刀和小针刀疗法对顽固性肱骨外上髁炎的临床治疗疗效,并进行对比研究分析,为本病的治疗提供一种新的、简单、安全的治疗方法,并为临床广泛推广提供理论依据。方法：在2015年2月—2016年3月期间,在黑龙江中医药大学骨一科门诊及病房选取符合纳入标准的60例患者,随机分为治疗组和对照组,每组30例,治疗组进行低温等离子射频消融治疗,对照组进行小针刀治疗,观察这两组患者的VAS、LENT-SOMA、ADL评分的改善程度。结果：患者对治疗能够耐受且积极配合,经治疗后肱骨外上髁处压痛、活动痛、前臂的旋转功能较治疗前明显改善,两组数据经统计学分析P0.05,研究结果有意义。在整个研究过程中,患者生命体征平稳,无不良现象发生。结论：(1)等离子刀与针刀均能有效缓解患者的临床症状或痊愈,改善患肢肘关节功能提高生活质量,但低温等离子刀效果更佳,(2)低温定离子刀治疗顽固性肱骨外上髁炎改善疼痛症状疗效显著,该方法操作简单而且安全性高,患者依从性好,其具有起效快、疗程短、复发率低、且不影响以后手术治疗等优点。
[Abstract]:Objective: to observe the clinical effect of low temperature plasma knife and small needle knife therapy on intractable external epicondylitis of humerus, and to provide a new, simple and safe method for the treatment of this disease. Methods: from February 2015 to March 2016, 60 patients were randomly divided into treatment group and control group. 30 patients in each group were treated with low temperature radiofrequency ablation and the control group were treated with small needle knife. The improvement of VASL LENT-SOMA-ADL score was observed. Results: the patients were able to tolerate and cooperate actively with the treatment. After treatment, the tenderness, movement pain and rotation function of the forearm of the lateral epicondyle of humerus were obviously improved compared with those before treatment. The data of the two groups were statistically analyzed (P0.05). The results were significant. During the whole study, the patient's vital signs were stable. Conclusion both plasma knife and needle knife can effectively relieve the clinical symptoms of the patients, improve the function of elbow joint and improve the quality of life. But the effect of low temperature plasma knife is better than that of low temperature plasma knife. The treatment of intractable external epicondylitis of humerus with fixed ion knife has a remarkable effect on improving pain symptoms. This method is simple, safe, patient compliance is good, its effect is quick, the course of treatment is short, and the recurrence rate is low. And does not affect the future surgical treatment and other advantages.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

【相似文献】