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跨动脉栓塞用于肩部粘附性囊炎:功能和疼痛缓解的中期结果
Carlos Lanciego1, Ana Puentes-Gutierrez2, Marcelino Sánchez-Casado3
1Interventional Radiology Unit, Radiology Department, Complejo Hospitalario Universitario de Toledo, Toledo, Spain.
Journal of vascular and interventional radiology : JVIR
|January 10, 2024
概括
跨动脉栓塞为肩部粘附性囊炎提供安全有效的治疗方法,该囊炎对标准疗法没有反应. 这种微创手术显著改善疼痛和运动范围,带来持久的好处.
科学领域:
- 干预性放射学 干预性放射学
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
背景情况:
- 粘着性囊炎 (冷的肩膀) 引起显著的疼痛和有限的运动能力.
- 常规治疗方法 (止痛药,物理治疗) 在耐火病例中经常失败.
- 跨动脉栓塞是一种新兴的最小侵入性选择.
研究的目的:
- 评估跨动脉栓塞治疗肩部粘附性囊炎的安全性和有效性.
- 评估疼痛的改善,运动范围和功能.
- 为了确定治疗结果的持久性.
主要方法:
- 对20名耐火粘合性囊炎的成年患者进行前性研究.
- 患者接受了跨动脉栓塞.
- 疼痛,运动范围和上肢功能在embolization前和后被评估在多个时间点.
- 长期随访包括采访和临床审查.
主要成果:
- 显著改善夜间疼痛,运动疼痛和所有测量的运动范围 (屈曲,外部旋转,内部旋转,绑架).
- 在整体上肢功能显著增强 (手臂,肩膀和手的快速残疾).
- 报告高安全性,仅有一次轻度不良事件;患者满意度变化很小.
结论:
- 跨动脉栓塞是一种安全且可能有效的治疗,用于抗常规疗法的肩部粘合性囊炎.
- 该程序导致显著的中长期临床改善.
- 进一步的研究可能会将栓塞作为标准治疗选择.
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