雌二醇补充剂是否可以改善绝经后妇女的旋转手套修复结果?
Brittany Percin1,2, Jennifer C Wang1, Christopher C Joyce1
1Department of Orthopaedics University of Utah, Salt Lake City, UT, USA.
JSES reviews, reports, and techniques
|February 6, 2026
概括
雌激素补充剂可能会改善经过旋转手套修复 (RCR) 的绝经后妇女的结果. 虽然激素替代疗法 (HRT) 显示出更好的疼痛和功能评分,但结果没有达到临床意义. 建议进行进一步的研究.
科学领域:
- 整形外科手术 整形外科手术
- 绝经后健康 绝经后健康
- 肌肉骨康复 肌肉骨康复
背景情况:
- 旋转手套修复 (RCR) 失败率超过25%,影响患者的功能.
- 雌激素缺乏与RCR后的较差结果有关.
- 调查激素对RCR成功的影响对于改善患者护理至关重要.
研究的目的:
- 为了确定雌二醇补充剂是否能改善经历RCR的绝经后妇女的结果.
- 测试一种假设,即雌激醇补充与更好的术后结果有关.
主要方法:
- 50岁以上接受RCR的女性患者的回顾性审查.
- 基于麻醉前的笔记,分类为激素替代疗法 (HRT) 和非HRT组.
- 收集了2年的术后数据,包括主观肩部值 (SSV),疼痛视觉模拟尺度 (VAS) 和美国肩和肘部外科医生 (ASES) 评分.
主要成果:
- 接受HRT的患者在RCR后2年表现出明显较低的VAS得分 (0.3±0.8对1.2±2.1) 和较高的SSV得分 (95±10对87±16).
- 在手术前得分,患者满意度,ASES得分或HRT与非HRT组之间的重新手术率方面没有发现显著差异.
- 虽然在统计学上显著,但观察到的VAS和SSV的改善没有达到临床上重要的最小值.
结论:
- 雌激醇补充剂显示,经过RCR后,绝经后妇女的治疗结果趋向于更好.
- 观察到的疼痛和功能改善需要进一步调查以确认临床相关性.
- 需要前性随机试验来验证这些发现在临床应用之前.
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