II期粘连性囊炎囊扩张后的结果

Alyssa Pelak, A. Hassan, Arnav Barve, Antonio Madrazo-Ibarra, Jonathan M. Kirschner, Vijay B. Vad
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引用次数: 1

摘要

背景:对于粘连性囊炎,有许多不同的治疗方法,包括物理治疗、麻醉下操作、关节镜下释放囊膜、皮质类固醇注射和囊膜扩张,但对最有效的治疗方法尚无共识。在中期研究中尚未探讨荚膜膨胀。因此,本研究旨在调查手术的中期结果,并分析首次扩张后第二次手术的必要性。方法:本研究纳入27例平均年龄58岁的II期粘连性囊炎患者。主要结果是利用电子医疗记录和患者直接询问的方式,观察患者在初次囊膜膨胀后进行第二次手术的比率。次要结果包括患者满意度评分、活动范围(ROM)限制、日常生活活动(adl)限制和随访时间。结果:在平均49个月的随访中,78%的患者在囊膜扩张后不需要第二次手术。需要第二次手术的那一组甲状腺功能减退患者的比例明显更高,随访时间也更短。此外,81%的患者报告他们的结果“良好”,74%的患者没有ROM限制,89%的患者没有adl限制。结论:胶囊膨胀显示了中期随访的良好结果,患者报告的结果超过四分之三的患者不需要第二次手术。有必要对这种治疗的使用进行进一步的研究,包括随机对照试验和长期随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes Following Capsular Distention for Stage II Adhesive Capsulitis
Background: There has been many different treatments for adhesive capsulitis explored including physical therapy, manipulation under anesthesia, arthroscopic capsular release, corticosteroid injections, and capsular distention without consensus regarding the most effective treatment. Capsular distention has not been explored in a mid-term study. Therefore, this study aims to investigate the mid-term outcomes of the procedure and analyze the need for a second procedure following initial distention. Methods: This study included 27 patients with average age of 58 diagnosed with stage II adhesive capsulitis. The primary outcome was the rate of second procedures in patients following initial capsular distention, utilizing both electronic medical record and direct patient questions. The secondary outcomes included patient satisfaction rating, range of motion (ROM) limitations, limitations on Activities of Daily Living (ADLs) and time to follow up. Results: At an average follow up of 49 months, 78% of patients did not require a second procedure following capsular distention. The group that required second procedure had a significantly higher percentage of hypothyroid patients and a shorter time to follow up visits. Additionally, 81% of the total cohort reported their outcomes as “good,” 74% had no ROM limitations and 89% had no limitations on ADLs. Conclusion: Capsular distention shows promising results for mid-term follow up with patient reported outcomes and over three quarters of patients not requiring a second procedure. Further research on the use of this treatment is warranted including randomized controlled trials and longer term follow up.
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