皮肤穿透的A1轮与皮质类固醇注射用于触发指释放:系统性审查
Jimmy Wen1, Burhaan Syed2, Ramy Khalil2
1California Northstate University College of Medicine, 9700 W Taron Dr, Elk Grove, CA, 95757, USA. jdoub2009@berkeley.edu.
Journal of orthopaedic surgery and research
|April 29, 2025
概括
同时通过皮肤释放A1轮 (PAP) 和注射皮质类固醇 (CI) 有效地治疗触发指 (TF),改善患者的结果和疼痛缓解. 这种综合方法为触发指释放 (TFR) 提供了耐受性良好,并发症低的选择.
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
- 再生医学是一种再生医学.
背景情况:
- 皮质类固醇注射 (CI) 是触发指 (TF) 的主要治疗方法.
- 穿皮A1滑轮 (PAP) 释放是TF的一种手术选择.
- 对TF释放 (TFR) 进行并发PAP和CI的比较至关重要.
研究的目的:
- 系统地审查和比较同步穿皮A1滑轮释放和皮质类固醇注射用于触发指释放的结果.
- 评估这种联合治疗方法的临床疗效和安全性.
主要方法:
- 在PubMed,Embase和Cochrane图书馆中按照PRISMA指南进行系统的文献搜索.
- 包括7项涉及685名患者的研究.
- 提取有关患者人口统计,随访时间,受影响的数字,奎内尔分级,恢复活动,患者报告的结果 (PRO) 和并发症的数据.
主要成果:
- 该审查包括685名患者,平均年龄为52.0岁,平均随访时间为22周.
- 同时的PAP和CI显示了高的患者满意度和疼痛缓解率 (96.2%).
- 所有患者都成功地恢复了手术前的活动,包括运动和工作.
结论:
- 同时通过皮肤释放A1滑轮和注射皮质类固醇显示了触发指释放的积极临床结果.
- 联合手术耐受性良好,并发症发生率低.
- 这种方法提高了患者报告的结果,并促进了迅速恢复活动.
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