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Corticosteroid Injection by Palpation Guide versus Palpation Guide and Needling Method for Coccydynia
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作者 Ebrahim Ghayem Hassankhani Golnaz Ghayem Hassankhani Solmaz Ghayem Hassankhani 《Open Journal of Orthopedics》 2021年第9期249-256,共8页
<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Coccydynia is a painful condition with tenderness and ache in sacrococc... <b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Coccydynia is a painful condition with tenderness and ache in sacrococcygeal area which may radiate to the buttocks and lower back. Coccydynia is a multifactorial disorder</span><span></span><span></span><b><span><span></span><span></span> </span></b><span style="font-family:""><span style="font-family:Verdana;">and the most common cause of it is trauma. The initial treatment of the disease is conservative methods. One of the most common conservative treatments of chronic coccydynia is the local corticosteroid injection, which performed usually by palpation-guided method. This study was conducted to compare the effectiveness of local corticosteroid injection using palpation and needling method with palpation method alone. </span><b><span style="font-family:Verdana;">Patients and Methods: </span></b><span style="font-family:Verdana;">In this prospective study</span></span><span style="font-family:Verdana;">, 50</span><span style="font-family:Verdana;"> patients with the diagnosis</span><span style="font-family:Verdana;"> of coccydynia were enrolled between 2010 </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> 2017. All patients had chronic coccydynia which did not respond to conservative therapy for at least three months. Participants were divided into two groups and each group consisted of 25 individuals. Patients who underwent local corticosteroid injection using palpation guide technique alone were assigned as group A and others who underwent palpation guid</span><span style="font-family:Verdana;">ing</span><span style="font-family:""><span style="font-family:Verdana;"> injection with needling technique were considered as group B. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">There was a statistically significant difference between the mean VAS scores in preinjection and final follow up visit in each groups</span></span><span 展开更多
关键词 Corticosteroid Injection palpation guiding NEEDLING COCCYDYNIA
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电刺激定位肉毒素注射治疗肌痉挛的临床研究 被引量:13
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作者 陈庆梅 孙海伟 +2 位作者 李莉 张大伟 杨卫新 《中国康复》 2014年第6期442-446,共5页
目的:观察电刺激定位在肉毒素注射中的临床价值。方法:脑卒中后肌痉挛患者45例,按痉挛部位分组,肱二头肌组分为电刺激定位组18例(A1组)采用电刺激定位法,徒手定位组17例(A2组)采用徒手定位法,下肢组分为电刺激定位组20例(B1组)及徒手定... 目的:观察电刺激定位在肉毒素注射中的临床价值。方法:脑卒中后肌痉挛患者45例,按痉挛部位分组,肱二头肌组分为电刺激定位组18例(A1组)采用电刺激定位法,徒手定位组17例(A2组)采用徒手定位法,下肢组分为电刺激定位组20例(B1组)及徒手定位组20例(B2组)。注射前后采用改良Ashworth评级(MAS)及表面肌电积分值(IEMG)评价肌张力,测量被动关节活动度(PROM)评定肘、踝跖屈曲活动度;运动功能评定量表(FMA)、10m步速评估下肢运动功能。结果:治疗后2、4、8及12周时,A1、A2组MAS及IEMG评分均较治疗前呈逐渐下降趋势(P<0.05),且A1组更低于A2组(P<0.05);治疗后,A1、A2组肘关节屈曲PROM及上肢FMA评分均较治疗前呈逐渐升高趋势(P<0.05),且A1组肘关节屈曲PROM在治疗后4、8及12周时较A2组提高更显著(P<0.05),A1组上肢FMA在治疗后8及12周时较A2组提高更显著(P<0.05)。治疗后2、4、8及12周时,B1、B2组MAS、IEMG评分及10m步行时间均较治疗前呈逐渐下降趋势(P<0.05),B1、B2组下肢踝关节跖屈PROM及下肢FMA评分均较治疗前呈逐渐升高趋势(P<0.05)且B1组下肢踝关节跖屈PROM在治疗后2周及下肢FMA在治疗后12周较B2组提高更显著(P<0.05),余各项评分及时间点2组间比较差异无统计学意义。结论:肱二头肌采用电刺激定位肉毒素注射临床治疗肌痉挛的临床效果优于徒手定位;比目鱼肌、腓肠肌及胫后肌采用电刺激定位肉毒素注射临床治疗肌痉挛的临床效果与徒手定位比较,差异无统计学意义。 展开更多
关键词 A型肉毒毒素 电刺激定位 徒手定位
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触诊引导乳腺肿块的穿刺组织学活检
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作者 颜士峰 王刚 李志强 《中国医学影像技术》 CSCD 2004年第z2期111-112,共2页
目的 探讨乳腺肿块触诊引导穿刺活检的准确性及可行性。方法 对本组 3 4例乳腺较大肿块 (>3cm )患者采用 18G活检枪手法触诊引导穿刺活检肿块组织芯 ,每部位取 3针送病理 ,对较小肿块可增加穿刺次数 ,以提高阳性率。结果 本组患... 目的 探讨乳腺肿块触诊引导穿刺活检的准确性及可行性。方法 对本组 3 4例乳腺较大肿块 (>3cm )患者采用 18G活检枪手法触诊引导穿刺活检肿块组织芯 ,每部位取 3针送病理 ,对较小肿块可增加穿刺次数 ,以提高阳性率。结果 本组患者穿刺活检过程均顺利 ,成功率较高 ,良、恶性鉴别率达 10 0 % ,基本达到了病理诊断目的 ,且无较重并发症发生。结论 对于乳腺较大肿块 (>3cm)可触诊引导 ,直接穿刺活检成功。 展开更多
关键词 触诊引导 乳腺肿块 活检
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