部溢出/突炎影响多次钻井核心减压后的结果 对于部骨髓胀综合征的骨髓胀综合征
Hua-Zhang Xiong1, Yan-Li Peng1, Yu-Hong Deng1
1Department of Orthopedic Surgery, Affiliated Hospital of Zunyi Medical University, 149# Dalian Road, Zunyi, Guizhou Province, 563003, People's Republic of China.
BMC surgery
|June 3, 2023
概括
部溢出/突炎影响部骨髓综合征 (BMESH) 的结果,用多重钻芯解压 (MDCD) 治疗. 解决输液/鼻膜炎可以改善疼痛缓解和愈合时间,提供安全有效的治疗方法.
科学领域:
- 整形外科手术 整形外科手术
- 再生医学是一种再生医学.
- 肌肉骨成像系统的成像
背景情况:
- 部骨髓综合征 (BMESH) 是一种痛苦的疾病.
- 部溢出/突炎对BMESH多重钻芯解压缩 (MDCD) 疗效的影响尚不清楚.
- 评估部输液/突炎及其与MDCD结果的相关性对于治疗优化至关重要.
研究的目的:
- 为了评估部输液/突炎对BMESH患者MDCD治疗结果的影响.
- 为了确定关节镜治疗部输液/突炎是否可以改善MDCD后的临床结果.
- 研究BMESH与输出/突炎联合关节镜治疗的安全性和有效性.
主要方法:
- 关节镜辅助的MDCD对BMESH与部输液/突炎 (2016-2019) 的回顾性审查.
- 手术后多次间隔 (1-24个月) 对7名患者 (9个部) 的随访.
- 使用VAS,HHS,HOS-ADL,iHOT-12和ROM评估疼痛和功能,比较手术前和后的数据.
主要成果:
- 在休息时立即缓解疼痛,并在手术后3个月后恢复到手术前的活动水平.
- 与手术前值相比,1个月后VAS,HHS,HOS-ADL,iHOT-12和ROM的显著改善 (P <0.05).与手术前值相比,1个月后VAS,HHS,HOS-ADL,iHOT-12和ROM的显著改善.
- 3个月后在MRI上完全消除骨髓胀;在最后的随访时没有ROM限制. 在某些情况下,同时发现并治疗的关节内病理.
结论:
- 输液/突炎显著影响BMESH的MDCD后的临床结果.
- 关节镜干预部输液/肌炎缩短了疼痛缓解和胀解决时间.
- 这种方法是安全的,可以同时诊断和治疗关节内病理,并导致更少的并发症.
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