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重复性侧侧尾炎:对当前非手术和手术治疗方法的系统审查
Jason H Kim1, John F Hoy, Shelby R Smith
1Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
JBJS reviews
|August 6, 2024
概括
对于持续的侧面表皮带炎 (肘部疼痛),各种手术和非手术治疗方法显示出有前途. 个性化,基于证据的方法是有效管理耐火症症状的关键.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 再生医学是一种再生医学.
背景情况:
- 侧面表皮炎或网球肘是肘部疼痛的常见原因之一.
- 持续的症状往往抵制保守的治疗方法,缺乏关于最佳管理的明确共识.
- 强迫性侧面表皮炎 (RLE) 需要评估先进的治疗选择.
研究的目的:
- 系统地审查和综合有关RLE非手术和手术治疗的文献.
- 为了解耐火性侧面表皮质炎的各种治疗方法的疗效提供见解.
- 为了为持续的肘部疼痛提供临床决策信息.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 进行全面的数据库搜索 (PubMed,MEDLINE/Ovid,CINAHL,Cochrane,Scopus).这些数据库中的所有数据都可被查看.
- 包括评估RLE治疗选择的研究.
主要成果:
- 分析了27项涉及1,958名患者的研究.
- 治疗包括富血小板血注射,皮肤穿刺切除术和手术程序 (关节镜和开放).
- 评估了各种干预措施的有效性.
结论:
- 多种治疗方法显示出对RLE的短期,中期和长期有效性有希望.
- 一个全面的,以患者为中心的战略,整合基于证据的护理至关重要.
- 耐火侧面表皮炎的有效管理需要采取量身定制的方法.
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