基于CT和MRI的全膝关节整形术患者特异仪器之间没有中期生存和临床结果的差异,这是一个随机对照试验
D M J Theeuwen1, I Haveman2, B Boonen2
1Department of Orthopaedic Surgery, Zuyderland Medical Center, Dr. H Vd Hoffplein 1, 6162 AG, Sittard-Geleen, The Netherlands. dieuwertje_theeuwen@live.nl.
概括
这项研究发现,在中期随访时,CT和MRI基于的患者特定仪器之间,膝关节关节整形术总存活率没有显著差异. 临床结果相似,尽管MRI显示了随着时间的推移,EQ-5D-VAS得分略有优势.
科学领域:
- 整形外科手术 整形外科手术
- 医疗成像医学成像
- 生物医学工程 生物医学工程
背景情况:
- 在全膝关节整形术 (TKA) 中,患者特定仪器 (PSI) 旨在提高手术精度.
- 计算机断层扫描 (CT) 和磁共振成像 (MRI) 都用于创建个性化手术指南.
- 基于CT和MRI的PSI之间的临床结果和生存率的长期比较数据有限.
研究的目的:
- 为了比较TKA的临床结果和存活率,使用基于CT的与基于MRI的PSI在5年的随访.
- 评估两个PSI组之间的患者报告结果指标 (PROM) 和被遗忘的联合得分 (FJS).
主要方法:
- 一项前性随机对照试验包括98名接受TKA的患者,使用基于CT或MRI的PSI.
- 患者在手术前和随访间隔完成PROM.
- 评估了生存率,并在最后的随访中进行了FJS.
- 使用了I级证据.
主要成果:
- 在最后的随访和当前分析之间,两组都没有进行过修复手术.
- 在CT-PSI和MRI-PSI组之间没有观察到总体临床结果的统计学上显著差异.
- 在最后的随访时,FJS在两组之间没有显著差异.
结论:
- 对TKA的中期存活率在基于CT和MRI的PSI之间是可比的.
- 虽然整体临床结果相似,但基于MRI的PSI组显示了随着时间的推移,EQ-5D-VAS得分的统计学上显著改善.
- 基于CT和MRI的PSI似乎都是TKA的可行的选择,MRI可能会随着时间的推移在患者报告的疼痛/功能方面带来轻微的优势.
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