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低剂量氨注射的安全性和有效性,没有触发指的注射频率限制
Jo Watanabe1,2, Yusuke Matsuura2,3, Takahiro Yamazaki2
1Department of Orthopaedic Surgery, Matsudo City General Hospital, Matsudo, Chiba, Japan.
Journal of hand surgery global online
|April 4, 2025
概括
在至少一个月的间隔内服用4毫克剂量时,Triamcinolone肌罩注射有效地治疗触发指,没有观察到并发症. 这项回顾性研究证实了这种非手术方法在触发指管理中的安全性和实用性.
科学领域:
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
- 药理学 药理学是指药理学的学科.
背景情况:
- 触发指是一种常见的疾病,影响手部的 flexor 肌.
- 氨醇肌套注射是一种公认的非手术治疗选择.
- 人们担心过度服用会导致断和感染等潜在并发症.
研究的目的:
- 为了回顾评估triamcinolone肌外套注射触发指的结果.
- 评估四毫克氨的安全性和有效性,而不限制注射频率,只要间隔至少为一个月.
主要方法:
- 在四个机构 (2009年4月至2021年10月) 接受三氨注射的触发指患者的回顾性分析.
- 排除标准包括随访3个月和儿科患者 (<16岁).
- 收集的数据:奎内尔严重程度,注射频率/间隔,并发症,糖尿病状态 (HbA1c) 和手术率.
主要成果:
- 分析了356例病例 (715个手指);平均年龄64.9岁;中位数随访27个月.
- 平均每手指注射3.3次,平均间隔6.3个月;没有发现肌破裂或感染.
- 22.4%的患者患有糖尿病;9.8%的患者最终需要手术.
结论:
- 在至少一个月的时间间隔内为触发指注射4毫克的氨,是安全的非手术治疗方法.
- 这种方法表明,在研究队列中没有观察到并发症.
- 这些发现支持继续使用这种治疗方案来治疗触发指.
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