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穿皮针切割:说明,程序,疗效和安全性. 一个系统的审查

Hugo Bessaguet¹, Paul Calmels¹, Alexis Schnitzler²

¹Physical and Rehabilitation Medicine Department, University Hospital of Saint-Etienne, 25, boulevard Pasteur, 42100 Saint- Etienne, France; Inter-university Laboratory of Human Movement Biology, "Physical Ability and Fatigue in health and disease" team (F-42023), Saint-Etienne "Jean Monnet" & Lyon 1 & "Savoie Mont-Blanc" universities, Saint- Etienne, France.

Annals of physical and rehabilitation medicine

|June 2, 2024

概括

穿皮针切割术是治疗肌问题的最简单的入侵方法. 这次审查发现它们对成人和儿童的各种形是安全和有效的,并发症率低.

科学领域:

整形外科手术整形外科手术
最少侵入性手术的方法
肌肉骨干预肌肉骨干预

背景情况:

穿皮针切割是最少的侵入性,快速的手术,可以在没有大切口或全身麻醉的情况下进入肌.
目前的穿皮针切割手术缺乏标准化的指导方针,导致实践中的异质性.

研究的目的:

系统地审查现有文献中的皮肤针切除术 (PNT) 指示.
识别和分析报告的PNT程序,它们的有效性和安全性.

主要方法:

按照PRISMA指南进行了系统审查.
在MEDLINE,Embase,Cochrane图书馆和PEDro数据库中搜索了关于人类PNT的原始文章.
使用唐斯和黑名单评估研究质量.

主要成果:

十四项临床研究 (674人,1664次切断) 符合纳入标准.
在成人和儿童上肢和下肢的24条肌中确定了PNT的各种迹象.
报告了5%的并发症率,有效性主要通过临床结果和运动范围的增加来评估.

结论:

这是关于仅用针的PNT证据的第一个系统综合.
目前的证据支持PNT作为各种形的安全有效治疗方法.
进一步标准化PNT程序可能会提高结果.

关键词:

获得的变形性高血压.收缩收缩收缩收缩变形变形变形变形最少侵入性手术是最少侵入性的手术.通过皮肤进行针切割.肌肌肌是一个十切手术 (Tenotomy) 是一个十切手术.

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