"手术期间的柱状皮质类固醇注射":它是否改善了手腕道释放手术后的临床结果? 这是一项双盲,随机对照研究
Panithan Tuntiyatorn1, Chanakarn Rojpitipongsakorn1, Siraphat Ponghunsa2
1Chakri Naruebodindra Medical Institute, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Samut Prakan, Thailand.
BMC musculoskeletal disorders
|December 13, 2025
概括
术内皮质类固醇注射并没有改善手腕道释放手术患者的结果和延长的支柱疼痛缓解. 这项研究发现,这种干预措施在治疗术后症状方面没有治疗效益.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 带道综合征 (CTS) 是一种常见的疾病,通常通过手术治疗.
- 开放的手腕道释放 (OCTR) 是一种标准的外科手术程序.
- 支柱疼痛是经过OCTR后潜在的术后并发症.
研究的目的:
- 评估手术内直接柱状皮质类固醇注射在接受CTSOCTR治疗的患者中的疗效.
- 为了比较皮质类固醇 (triamcinolone乙胺) 与安慰剂 (单独利多卡因) 注射对术后柱痛和功能结果的影响.
主要方法:
- 一项前性随机对照试验,涉及62名CTS患者.
- 患者在辐射柱 (甲骨架,梯形) 和柱 (哈马特,皮形) 区域内接受了手术内柱子注射.
- 两个组进行了比较:利多卡因与三氨醇乙化物与单独的利多卡因.
主要成果:
- 在皮质类固醇和安慰剂组之间,没有观察到患者满意度,功能结果或手术后立即支柱疼痛的显著差异.
- 接受手术内皮质类固醇注射的组经历了支柱疼痛的延长解消时间.
结论:
- 在经过OCTR后,手术内直接注射柱状皮质类固醇并不是预防或缓解术后柱状疼痛症状的有效策略.
- 在这种情况下使用皮质类固醇可能导致延迟疼痛恢复.
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