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对于耐火粘合性囊炎和相关肌病的跨动脉栓塞:系统性审查和元分析
Sammy Allaw1, Kameel Khabaz2, Qian Yu3
1Indiana University School of Medicine, Indianapolis, Indiana.
Journal of vascular and interventional radiology : JVIR
|October 29, 2025
概括
跨动脉栓塞 (TAE) 显著改善粘合性囊炎的疼痛和肩部功能. 这种最少的侵入性治疗显示出有利的安全性,为耐火性肩部疾病患者提供了希望.
科学领域:
- 干预性放射学 干预性放射学
- 整形外科手术 整形外科手术
- 肌肉骨医学 肌肉骨医学
背景情况:
- 粘着性囊炎和相关的肩膀肌病变会导致严重的疼痛和有限的运动能力.
- 目前的治疗方法可能对所有患者都不有效,需要使用替代疗法.
研究的目的:
- 系统地审查和综合跨动脉栓塞 (TAE) 对粘附性囊炎和肩部肌病的证据.
- 量化疼痛,运动范围 (ROM) 和功能分数 (ASES) 的聚合变化.
- 为了评估与TAE相关的安全结果,在这个患者群体.
主要方法:
- 通过PubMed和Scopus搜索发现的符合条件的队列研究的系统审查.
- 使用标准化平均变化与原始分数标准化 (SMCR) 进行疼痛评分的聚合分析.
- 使用原始平均值变化对ROM和ASES得分进行了聚合分析;评估了异质性和偏差.
主要成果:
- 包括12项研究 (329个肩膀),主要是粘合性囊炎 (84%).
- 在180天内,观察到疼痛 (SMCR -1.48到-2.59),外部旋转ROM (+11.67°到+36.47°) 和ASES分数 (+22.94到+58.79) 的显著改善.
- 100%的技术成功与有利的安全性;大多数不良事件是轻微的.
结论:
- TAE在改善耐火性粘合性囊炎和肌病的疼痛,移动性和功能方面表现出显著的有效性.
- 该程序具有良好的安全概况.
- 由于研究的局限性,如不受控制的设计和异质性,需要进一步进行高质量的研究,包括随机对照试验.
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