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对于粘附性囊炎的跨动脉栓塞的临床和放射性结果
Keng-Wei Liang1,2, Hsuan Yin Lin3, Kai-Lan Hsu4
1Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan.
Korean journal of radiology
|February 25, 2025
概括
跨动脉栓塞 (TAE) 通过减少疼痛和改善肩部功能,有效治疗粘合性囊炎 (AC). 这种微创手术还可以减少炎症,MRI扫描证实了这一点,提供了一个新的治疗选择.
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
- 肌肉骨成像系统的成像
背景情况:
- 粘着性囊炎 (AC),或冷的肩膀,是一种使人虚弱的疾病,其特点是肩膀硬和疼痛.
- 对于耐火性AC,保守治疗常常失败,需要使用替代治疗策略.
研究的目的:
- 评估跨动脉栓塞 (TAE) 在治疗粘合性囊炎 (AC) 的疗效.
- 用磁共振成像 (MRI) 评估TAE后的临床结果和肩部炎症的变化.
主要方法:
- 一组由25名耐火性AC患者组成的队列,使用伊米佩涅姆/西拉斯塔丁和含的对比剂接受了TAE.
- 患者接受了基线和3个月的随访对比度增强的MRI.
- 使用数值评分尺度 (NRS) 测量疼痛和手臂,肩膀和手的快速残疾 (快速DASH) 问卷,测量临床结果.
主要成果:
- 在手术后1,3个月和6个月,TAE显著降低了NRS疼痛评分,改善了快速DASH评分和肩部运动范围 (屈曲,绑架) (P < 0.001).
- 核磁共振扫描显示了股隙囊增强,旋转器间隔 (RI) 囊T2信号强度和RI囊增强 (P ≤ 0.004) 的显著下降.
结论:
- 超动脉栓塞 (TAE) 是一种安全有效的治疗粘性囊炎 (AC) 的方法,该治疗方法耐受于保守的管理.
- TAE缓解疼痛,增强功能恢复,并减少炎症,可能通过降低血管生成.
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