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由于COVID-19疫苗接种而引起的粘性囊炎 - 一个案例系列
Malaysian orthopaedic journal
|August 16, 2023
概括
与疫苗接种 (SIRVA) 相关的肩部损伤可能导致COVID-19疫苗接种后的粘合性囊炎. 非手术治疗,如物理治疗和水分扩展,有效地改善了患者的疼痛和肩部功能.
科学领域:
- 整形外科 整形外科 整形外科
- 疫苗学 疫苗学 疫苗学
- 免疫学 免疫学 免疫学
背景情况:
- 与疫苗接种相关的肩部损伤 (SIRVA) 包括导致疫苗接种后疼痛和硬的病理.
- 在COVID-19疫苗接种后,SIRVA已经被记录在案,因此需要对其临床影响进行进一步调查.
研究的目的:
- 调查SIRVA诱导的粘合性囊炎的病理生理学,临床表现,治疗和结果.
- 分析COVID-19疫苗注射后发生的粘合性囊炎病例.
主要方法:
- 在受影响手臂接种COVID-19疫苗后四周内,对粘合性囊炎患者的回顾性鉴定.
- 对7例病例 (1例男性,6例女性,平均年龄60岁) 的分析,包括症状,持续时间和治疗策略.
主要成果:
- 所有七名患者在视觉模拟尺度 (VAS) 疼痛评分和运动范围 (ROM) 中都有改善.
- 非手术管理,包括物理治疗和水分扩展,产生了积极的临床和功能结果.
结论:
- 由SIRVA诱导的粘合性囊炎是一种罕见的,但可能导致疫苗不当使用的并发症.
- 保守的治疗方法,特别是与物理治疗的水分扩张,是有效的,导致良好的功能恢复. 接种疫苗应在非主导的手臂上进行.
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