膝关节动脉栓塞:在全膝关节整形术后,对复发性输液的有希望的治疗选择
Rex W Lutz1, Zachary D Post2, Hope S Thalody1
1Jefferson Health New Jersey, Stratford, NJ, USA.
概括
选择性生殖动脉栓塞 (GAE) 有效地治疗全膝关节整形术 (TKA) 后的复发性输液. 大多数患者经历了显著的症状缓解和输出解决方案,表明GAE.
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
- 血管医学 血管医学
背景情况:
- 经过全膝关节整形术 (TKA) 后,持续的症状性复发性泄漏 (RE) 是一个挑战.
- 选择性生殖动脉栓塞 (GAE) 是一种新兴的微创治疗方法,用于这些输液.
研究的目的:
- 评估GAE在TKA后治疗RE的放射和临床成功.
主要方法:
- 对从经过GAE (2019-2021) 的TKA患有RE (出血和非出血) 的患者前性收集的数据的回顾性审查.
- 标准化数据收集包括西安大略省和麦克马斯特大学关节炎指数 (WOMAC) 和视觉模拟尺度 (VAS) 在手术前和后的得分.
- 6个月后的超声波评估评估出血的复发情况.
主要成果:
- 包括17名患者 (18名TKA),平均年龄为63.1岁.
- 观察到的显著改善:平均WOMAC得分下降了36.1分,VAS得分下降了3.3分.
- 在6个月的随访期间,超声波确认了77.8% (14/18 TKAs) 的完整流血分离.
结论:
- 在TKA后的大多数患者中,GAE表现出显著的临床改善和输液溶解.
- 这些发现支持GAE作为TKA后的RE的潜在有效,最少侵入性治疗方法.
- 需要对TKA后的RE进行进一步的GAE调查.
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