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相关概念视频

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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临床实践更新:阿基里斯肌破裂

Hunter A O'Connor1, Luke W Adams1, Nathan Wm Skelley2,1

  • 1University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

South Dakota medicine : the journal of the South Dakota State Medical Association
|September 21, 2023
PubMed
概括

阿基里斯肌破裂是一种常见的体育伤害. 手术和非手术护理之间的治疗决定取决于个体患者的因素和目标,因为结果是可比的.

科学领域:

  • 整形外科 整形外科 整形外科
  • 运动医学 运动医学
  • 肌肉骨损伤 肌肉骨损伤

背景情况:

  • 阿基里斯肌破裂是常见的伤害,特别是在从事娱乐运动的中年男性中.
  • 伤害的特点是突然爆发的感觉,疼痛和软弱,通常在运动活动期间.

研究的目的:

  • 审查目前对阿基勒斯断裂诊断和管理的理解.
  • 为了比较与手术与非手术治疗策略相关的疗效和风险.

主要方法:

  • 临床诊断是主要的,常常补充MRI用于确认和手术规划.
  • 治疗方案包括手术 (开放或微创) 和非手术 (功能支架或造) 方法.

主要成果:

  • 虽然手术在历史上是首选的,但由于证据表明可比的长期结果,非手术治疗得到了青.
  • 没有一种治疗方法是普遍优越的;手术存在并发症的风险,这使得它不太适合老年人或患有并发症的人.
  • 非手术治疗增加了再次受伤的风险,这对年轻,活跃的人来说是一个问题.

结论:

  • 阿基里斯肌破裂的最佳治疗取决于个体患者的目标,优先事项,年龄和整体健康状况.
  • 患者和临床医生的共同决策对于选择最合适的管理策略至关重要.

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