通过超声波检测的沟的管理:一项全面的研究
Franco Alejandro Corvatta1, Rubén Emilio Díaz2, Santiago Bertone2
1Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD, Buenos Aires, Argentina. franco.corvatta@hospitalitaliano.org.ar.
Langenbeck's archives of surgery
|October 17, 2023
概括
超声波检测到的 (UDH) 通常会自发消失,大多数患者在没有手术的情况下获得疼痛缓解. 建议采取警的等待方法,同时研究关节疼痛的替代诊断.
科学领域:
- 一般外科 整体外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 超声波检测到的 (UDH) 作为关痛的唯一原因的作用是不确定的.
- 临床检查往往是诊断沟的补充.
研究的目的:
- 描述患有UDH的患者的自然史.
- 评估临床明显的发展,疼痛缓解和UDH患者的替代诊断.
主要方法:
- 对患有UDH和关节疼痛的患者进行前性观察研究.
- 随访包括评估疼痛的演变,临床的发展,需要手术和替代诊断.
主要成果:
- 在98名患者中,7.1%患有临床 (CH),4.1%需要手术.
- 疼痛在54.1%的患者中消失,大多是自发的 (75.5%) 在2个月内.
- 在39.6%没有CH的患者中,发现了替代诊断,经常是肌肉骨.
结论:
- 警等待是UDH的合理策略.
- 彻底调查替代的沟疼痛原因至关重要,特别是在临床隐性的病例中.
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