内类固醇注射是否会加速人类磁盘的组织退化?
Jin Hwan Kim1, Sunhee Chang2, Byung Ho Kim1
1Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, 170 Juhwa-ro, Ilsanseo-gu, Goyang-si, Gyeonggi-do, South Korea.
Osteoporosis and sarcopenia
|October 15, 2024
概括
内类固醇注射 (ISI) 不会使磁盘退化恶化. 年龄是磁盘退化的主要因素,ISI是磁盘退化疾病 (DDD) 的组织学上安全的治疗选择.
科学领域:
- 整形外科 整形外科 整形外科
- 再生医学是一种再生医学.
- 脊柱外科手术 脊柱外科手术
背景情况:
- 内类固醇注射 (ISI) 是对磁盘退行性疾病 (DDD) 的常见治疗方法.
- ISI对人类脊椎间盘的组织学影响尚不清楚.
- 这项研究调查了ISI诱导组织退行症的潜力.
研究的目的:
- 为了确定静脉内类固醇注射 (ISI) 是否会导致人类磁盘的组织变性.
- 为了比较之前的ISI和没有ISI的磁盘的组织学变化.
主要方法:
- 从150名经历腰部融合的患者的核脉组织学分析.
- 冠状细胞增殖和矩阵变化的分类 (血素和欧染色).
- 后勤回归用于识别影响退化因素,并比较ISI与非ISI组.
主要成果:
- 在ISI和非ISI组之间,无显著的肌体学差异在冠状细胞增殖或矩阵变化中.
- 年龄被确定为冠状细胞增殖 (P=0.02) 和矩阵变化 (P<0.01) 的最重要的风险因素.
结论:
- 年龄是磁盘退化的主要驱动因素.
- 内类固醇注射 (ISI) 不会加速组织学盘退化.
- 对于患有椎间盘退行性疾病 (DDD) 的患者来说,ISI是一种组织学上安全的治疗选择.
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