评估Prp和皮质类固醇注射治疗骶髂关节疼痛的疗效

I. Ulusoy, Mehmet Yılmaz, A. Kıvrak
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摘要

骶髂关节疼痛是影响患者日常生活活动的一种症状。侵入性方法在治疗该症状中也占有重要地位。本研究评估了因骶髂关节疼痛而注射富血小板血浆和类固醇的患者的随访结果。回顾性评估2018-2022年的患者档案。超声引导下骶髂关节注射富血小板血浆和类固醇的患者分为两组。分别在1个月、3个月和6个月时评估VAS和改良Oswestry残疾问卷得分。87名患者参与了这项研究。两组患者注射后均获益(p<0.001)。随访1个月,类固醇治疗组的VAS评分和改良Oswestry残疾问卷评分均显著优于对照组(p<0.001)。第3个月时,两组患者VAS评分(p=0.695)和改良Oswestry残疾问卷评分(p=0.215)比较,差异无统计学意义。6个月时富血小板血浆组疗效显著优于富血小板血浆组(p<0.001)。富血小板血浆和类固醇注射是治疗骶髂关节疼痛的安全方法。短期使用类固醇注射和长期使用富血小板血浆注射更为有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the outcomes of Prp and corticosteroid injections for sacroiliac joint pain
Sacroiliac joint pain is a symptom that can affect the life activities of patients in daily life. Invasive methods also occupy an important place in the treatment of this symptom. Our study evaluated the follow-up results of patients injected with Platelet-rich plasma and steroids due to sacroiliac joint pain. Patient files between the years 2018-2022 were evaluated retrospectively. Patients who underwent ultrasound-guided sacroiliac joint injection of platelet-rich plasma and steroids were divided into 2 groups. VAS and The Modified Oswestry Disability Questionnaire scores were evaluated at 1, 3, and 6 months. Eighty-seven patients were included in the study. It was understood that patients in both groups benefited after injection (p<0.001). In the 1st month follow-up, it was concluded that the VAS and the Modified Oswestry Disability Questionnaire scores of the patient group who received steroids were significantly better (p<0.001). In the 3rd month, the VAS (p=0.695) and the Modified Oswestry Disability Questionnaire (p=0.215) scores of both groups were similar in both groups. In the 6th month, the platelet-rich plasma group's results were significantly better (p<0.001). Platelet-rich plasma and steroid injections are safe treatment methods for sacroiliac joint pain. Steroid injections in the short term and platelet-rich plasma injections in the long term are more effective.
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