用选择性栓塞治疗膝关节关节整形术后复发性血关节炎的治疗:一项56名患者的队列研究
Suvi-Maria Sirola1, Juuso Heikkinen2, Pekka Kerimaa3
1University of Oulu, Faculty of Medicine, Oulu; Oulu University Hospital, Department of Orthopedics and Traumatology, Oulu, Finland. suvimaria.sirola@gmail.com.
Acta orthopaedica
|January 9, 2025
概括
动脉栓塞 (AE) 有效地治疗膝关节关节整形术后的复发性动脉,在重复手术后临床成功率为79%. 大多数患者通过口服止痛药来控制治疗后的疼痛,并发症很少出现.
科学领域:
- 整形外科手术 整形外科手术
- 干预性放射学 干预性放射学
背景情况:
- 复发性动脉缩 (RH) 是膝关节关节整形术后的一种罕见的晚期并发症,原因尚不清楚.
- 评估RH的治疗选择对于改善患者的治疗结果至关重要.
研究的目的:
- 评估动脉栓塞 (AE) 在解决膝关节后关节整形术后的动脉缩的疗效.
- 调查疼痛管理需求和与RH的AE相关的并发症.
主要方法:
- 在2015年至2023年期间,对56名因RH而接受AE的患者进行了回顾性审查.
- 临床成功被定义为血关节炎的解决; 技术成功和并发症率被记录下来.
主要成果:
- 在93%的AE程序中取得了技术成功.
- 在第二次AE治疗后,临床成功率从64%提高到79%.
- 21%的患者需要重新手术,7%的患者出现并发症,其中大多数是自我限制的.
结论:
- 动脉栓塞是膝关节关节整形术后复发性血液性关节炎的有效治疗方法.
- 重复栓塞可以提高临床成功率.
- 口服止痛药通常足以治疗疼痛,AE的并发症率很低.
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