网球肘（肱骨外上髁炎）的常见问题| 手、腕及肘部| 医生文章| 亚洲 ...

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</noscript><div id="wrapper"><article id="article" class="inner-page healthDetails"><section class="top"><div class="holder"><div class="section-name">手、腕及肘部</div></div></section><section class="details"><div class="holder"><a href="https://asiamedicalspecialists.hk/sc/health-info/orthopaedics/" class="btn-back">回到医生文章</a><h2 class="title">网球肘（肱骨外上髁炎）的常见问题</h2><div class="share-holder"><a class="email addthis_button_email share-button" href="javascript:void(0)">电邮给朋友</a><div class="share"><p>分享到</p><a class="addthis_button_facebook share-button" href="javascript:void(0)"><img src="https://asiamedicalspecialists.hk/images/health-information/article/share-icon-fb.png" class="icon fb" alt="share-icon-fb"/></a><a class="addthis_button_sinaweibo share-button" href="javascript:void(0)"><img src="https://asiamedicalspecialists.hk/images/health-information/article/share-icon-sina.png" class="icon sina" alt="share-icon-sina"/></a><a class="addthis_button_twitter share-button" href="javascript:void(0)"><img src="https://asiamedicalspecialists.hk/images/health-information/article/share-icon-tw.png" class="icon tw" alt="share-icon-tw"/></a><a class="addthis_button_more share-button" href="javascript:void(0)"><img src="https://asiamedicalspecialists.hk/images/health-information/article/share-icon-more.png" class="icon more" alt="share-icon-more"/></a></div></div><div class="content template"><h1>网球肘（肱骨外上髁炎）</h1><p><em>由<a href="https://asiamedicalspecialists.hk/sc/team/33/区卓娆医生-骨科">区卓娆医生</a>撰写英文版本</em></p><p><em>(更新日期: Nov 10th 2022)</em></p><p>Q: 医生，我从没打过网球，为什么我有网球肘？</p><p>网球肘是肘关节外侧（肱骨外髁突）的一种痛症，正确的临床学名是肱骨外上髁炎。网球肘是因长期过度使用前臂伸肌和肌腱导致肌肉微撕裂、炎症和疼痛。因为它在网球运动员和从事球拍运动的运动员中很常见，所以也被称为「网球肘」。其他运动或活动也可能导致网球肘，例如：经常需要搬重物的人、击剑手或音乐家。</p><h2>网球肘症状</h2><p>网球肘主要由过度使用手臂造成，因此症状通常不会立即出现，一般会在几个月内逐渐感受到疼痛。其他迹象显示您可能患有网球肘的情况包括：</p><ul><li>尝试抬起或弯曲手臂时，肘部外侧出现烧灼感和疼痛。有时候疼痛感伸延至您的手腕，并且在夜间变得更严重。</li><li>手臂伸直时感到僵硬或疼痛。</li><li>握力减弱：当您试图握住球拍、铅笔或与人握手时，情况会较为明显。</li><li>扭动手臂时感到疼痛，例如转动门柄或扭开瓶盖等。</li></ul><h2>如何诊断网球肘？</h2><p>一般通过身体检查可以诊断网球肘。您的医生会检查您的肘关节，查看是否存在疼痛、肿胀和僵硬的情况。此外，医生会与您确认可能导致疼痛的日常活动。在部分情况下，有可能需要进行下一步检查以确认诊断：</p><ol><li><div>X光：您的医生可能会要求进行X光检查以排除其他类似问题，例如关节炎或骨折。</div></li><li><p>其他造影检查：例如超声波、磁力共振或电脑断层扫描，以评估肌腱和肌肉的损伤。</p></li><li><div>肌电图：以检查神经是否受到压迫。</div></li></ol><h2>网球肘的治疗</h2><p>早期治疗网球肘对阻止它演变为长期疾病至关重要。网球肘有不同治疗模式，保守疗法通常是首选的治疗方案：</p><ul><li><strong>休息：</strong>避免进行会拉伤受影响肌肉和肌腱的活动。如果你的网球肘是因为工作造成，交替进行工作可以让肌肉休息。</li><li><strong>止痛药/消炎药（NSAIDS）：</strong>可以服用这种药物来缓解疼痛和炎症。</li><li><strong><strong>物理治疗：</strong></strong>治疗师会透过不同方法帮助您恢复活动能力，并减轻疼痛和僵硬，例如：利用关节舒整治疗、按摩疗法等手法治疗来减轻痛楚及松弛紧张的肌肉等。治疗师亦会向您展示如何锻炼手臂，以增强前臂肌肉并保持手臂灵活；亦会使用固定器、绑带或夹板来限制您的前臂活动，让它们得以休息。<strong/></li><li><div><strong>注射</strong>：一般情况下，在其他治疗无效时使用。请注意类固醇注射能减轻受影响肌腱的发炎情况，但需要和物理治疗、消炎药等其他治疗方案共同使用才能发挥其最大效用。</div></li><li><strong>冲击波治疗：</strong>冲击波是一种透过高能冲击波传到受伤组织上的非侵入性治疗。冲击波会破坏疤痕组织，并改善受损区域的血液流动。有研究报告指出，冲击波治疗对治疗网球肘起到一定的作用。</li><li><strong>富血小板血浆注射（PRP）：</strong>富血小板血浆含有来自您体内的浓缩血小板，有助修复受损组织。一般情况下，富血小板血浆注射可以加快癒合过程。然而，长期副作用尚未明。</li><li><strong>手术：</strong>假设上述治疗方法都失败，并出现严重且持续的疼痛，医生可能会建议手术切除发炎的肌肉束和周围的受伤组织。此手术是在局部麻醉下进行的日间手术。</li></ul><h2>什么是网球肘套？</h2><p>网球肘套透过两种方式治疗网球肘。首先，弹力带限制了施加在受影响肌肉（桡侧腕短伸肌上的压力，从而让肌肉得到休息和癒合。压缩效果还有助于减轻疼痛。其次，弹力带能够提醒患者休息并避免剧烈运动。</p><p>如果您认为自己可能患有网球肘，请谘询就近的上肢专家并进行适当的评估，以便尽早治疗。 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