相关实验视频

Updated: Jan 13, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

膝关节动脉栓塞作为抵抗性膝关节疼痛的治疗选择膝关节全关节整形术后:一个有前景的系列

Nishanth Konduru¹, Anton Hnatov¹, Samuel Pravin Joshua¹

¹Rao Clinic, Cary, USA.

Cardiovascular and interventional radiology

|January 8, 2026

概括

膝关节动脉栓塞 (GAE) 能够有效地减少全膝关节关节整形术 (TKA) 后患者的慢性膝关节疼痛. 这种微创手术可显著缓解疼痛,改善患者的治疗结果.

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
疼痛管理疼痛管理

背景情况:

慢性膝盖疼痛是全膝关节整形术 (TKA) 后的一个常见并发症.
持续的疼痛显著影响患者的生活质量和功能恢复.
现有的治疗方法可能无法为所有TKA后患者提供足够的缓解.

研究的目的:

评估生殖关节动脉栓塞 (GAE) 在缓解经过TKA的患者慢性膝关节疼痛的疗效.
评估GAE对这种特定患者群体疼痛减轻和功能改善的影响.

主要方法:

一个单一中心的研究涉及37名患者 (13名男性,24名女性) 患有TKA后一年以上的持续膝盖疼痛.
使用 imipenem cilastatin 颗粒/微球输送到生殖关节动脉进行的 GAE.
临床成功以改善西安大略省和麦克马斯特大学骨关节炎指数 (WOMAC) 和视觉模拟尺度 (VAS) 疼痛评分在手术后一个和三个月的改善来衡量.

主要成果:

在GAE后三个月,WOMAC分数从64%降至36%,VAS分数从8.1降至3.1显著降低 (p <0.05).
64.9%的患者在3个月的随访期间,疼痛得分至少有50%的改善.
在一个月和三个月的评估中观察到统计学上显著的疼痛改善.

结论:

关节动脉栓塞 (GAE) 证明了在全膝关节整形术 (TKA) 后作为长期膝关节疼痛的辅助治疗的有效性.
GAE为管理耐火性TKA后疼痛提供了一个有前途的最小侵入性选择.
进一步的研究是有必要的,以探索长期的结果和GAE在这种情况下的更广泛的适用性.

关键词:

关节质整术是指关节质整术.血栓形成的过程中发生了栓塞.骨关节炎是一种骨关节炎.疼痛疼痛疼痛疼痛

更多相关视频

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients

Published on: September 20, 2020

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

相关概念视频

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...

Peripheral Artery Disease V: Postoperative Nursing Management

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...