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关节内皮质类固醇注射到部有多安全?
Laura Elisa Streck1, Sebastian Braun1, Kimi Spilo1
1Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
BMC musculoskeletal disorders
|August 23, 2023
概括
对于关节骨关节炎的关节内皮质类固醇注射 (ICSI) 当无菌地进行时是安全的. 关节置换术后快速进展性关节炎 (RPIO) 和关节感染的风险是最小的,即使是多次注射.
科学领域:
- 整形外科手术 整形外科手术
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
背景情况:
- 关节内皮质类固醇注射 (ICSI) 有效地管理关节骨关节炎的症状.
- 在进行全关节整形术 (THA) 之前,人们对ICSI的安全性存在担忧,包括感染性关节炎,快速进展性关节炎 (RPIO) 和周围假肢关节感染 (PJI) 的风险.
研究的目的:
- 评估ICSI对关节骨关节炎的安全性.
- 评估ICSI后RPIO,败血性关节炎和PJI的发生率.
主要方法:
- 对于682个被ICSI治疗的部骨关节炎 (40毫克Triamcinolone) 的部进行了回顾性审查.
- 所有ICSI都使用了无菌技术.
- 放射和图表审查被用来识别RPIO,败血性关节炎和PJI.
主要成果:
- 在ICSI后2至4个月内,0.6%的部患有RPIO;累积剂量不是一个因素.
- 发生了一例败血性关节炎,成功地用阶段性THA治疗.
- 在接受THA的483只部中没有报告PJI,包括那些在ICSI后3个月内多次ICSI或THA的部.
结论:
- 在ICSI后RPIO的发病率很低 (0.6%).
- 无菌的ICSI程序将THA后的败血性关节炎和PJI的风险降至最低.
- ICSI是关节骨关节炎的安全治疗选择,即使是在随后接受THA的患者中也是如此.
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