患有阴茎根撕裂的患者的临床和放射性结果
Rawee Manatrakul1,2, Maximilian Loeffler1,3, Upasana U Bharadwaj1
1Department of Radiology and Biomedical Imaging, University of California San Francisco, 185 Berry St, Suite 350, San Francisco, CA, 94158, USA.
BMC musculoskeletal disorders
|March 24, 2024
概括
与非手术治疗相比,阴茎根撕裂的关节镜修复显著减少疼痛. 基线MRI发现,包括撕裂距离和挤出,预测膝关节骨关节炎的治疗成功.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 运动医学 运动医学
背景情况:
- 阴茎根裂是膝盖疼痛的常见原因,可以加速骨关节炎.
- 早期诊断和适当的治疗对于管理半径根撕裂至关重要.
研究的目的:
- 为了比较关节镜阴茎根修复与非手术治疗的临床和放射性结果.
- 为了确定基线MRI预测因子,用于治疗策略在阴茎根撕裂.
主要方法:
- 90名患有阴茎根撕裂的患者的回顾性审查 (2016-2020年).
- 在基线和随访时进行放射 (Kellgren-Lawrence) 和MRI (全器官MRI评分) 评估.
- 分析视觉模拟尺度 (VAS) 疼痛评分和MRI预测因子的后勤回归.
主要成果:
- 关节镜修复产生的VAS疼痛得分明显低于保守治疗 (p <0.01).
- 开始时增加的阴茎挤出预测了非手术治疗的更高几率 (OR = 1.65,p = 0.04).
- 从根部附着部位的撕裂距离 (OR = 1.19,p < 0.01) 和半径挤出 (OR = 0.51,p = 0.02) 预测了关节镜修复.
结论:
- 与非手术管理相比,关节透视阴茎根修复提供了优越的疼痛减轻.
- 基线MRI指标,特别是撕裂距离和半径挤出,是指导治疗决策的有价值的预测指标.
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