对触发指的开放与穿皮释放的比较有效性:随机对照试验的系统审查和元分析
Kuan-Chen Huang1, Yu-Ying Chu2, Yu-Te Lin3
1Department of Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
概括
与开放式手术相比,皮释放触发指提供更快的恢复和更少的疼痛,具有类似的长期安全性. 超声波指导可能会增强这些益处.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 最少侵入性手术的方法
背景情况:
- 触发指的最佳手术方法,特别是穿皮相对于开放的A1轮释放,需要进一步澄清.
- 本研究涉及这些技术的相对安全性和有效性,包括超声波指导的作用.
研究的目的:
- 系统地审查和元分析随机对照试验,比较通式和开放式A1滑轮释放触发指.
- 评估超声波指导对皮肤间释放结果的影响.
主要方法:
- 随机对照试验的系统审查和元分析,遵循PRISMA指南.
- 在PubMed,Embase和Cochrane图书馆进行了搜索,搜索到2025年8月11日发布的研究.
- 结果包括功能,疼痛,并发症和各种随访间隔的修订率;进行了超声指导的子组分析.
主要成果:
- 分析了包括996名患者在内的14个RCT.
- 通过皮肤释放的药物显示显著改善功能恢复 (Q-DASH得分) 并在短期随访中更快地恢复工作.
- 通过皮肤释放观察到术后止痛药的使用减少;没有发现结果或并发症的长期显著差异.
结论:
- 穿皮和开放的A1轮释放都对触发指治疗有效.
- 穿皮释放在早期功能恢复和减少止痛药需求方面具有优势.
- 通过皮肤释放的安全性概况与开放性手术相当.
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