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触发指释放后需要治疗的后续触发的发生率和预测因素
Nicholas B Pohl1, Parker L Brush1, Jory P Parson1
1Department of Orthopedic Surgery, Rothman Orthopaedic Institute, Philadelphia, PA.
The Journal of hand surgery
|April 9, 2025
概括
随后的触发指治疗是常见的,超过40%的患者需要注射或手术. 较高的体重指数,并发症负担和吸烟增加了进一步触发指手术的风险.
科学领域:
- 整形外科手术 整形外科手术
- 手部手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 触发指 (硬化紧突炎) 是一种常见的需要治疗的病症.
- 手术释放是触发指的主要治疗选择.
- 了解影响治疗结果的因素对于患者管理至关重要.
研究的目的:
- 为了确定触发指的后续治疗的发生率.
- 为了确定与需要额外的触发指干预相关的患者特征.
- 分析相同或不同的数字重复处理的可能性.
主要方法:
- 对1715名接受触发指释放 (2015-2017年) 的患者进行了回顾性分析.
- 对后续的类固醇注射或手术释放进行评估的二变和考克斯比例危险分析.
- 患者因子之间的比较,需要和不需要后续治疗.
主要成果:
- 40.2%的患者需要随后的治疗 (注射或手术).
- 较高的并发症负担和目前的吸烟与增加后续治疗需求有关.
- 体重指数升高和并发症负担与需要后续手术相关.
结论:
- 在最初的手术释放后,随后的触发指治疗是常见的.
- 肥胖,并发症和吸烟等患者因素与需要进一步干预有关.
- 这些因素还预测了需要额外数字处理的风险.
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