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放射治疗在炎性肌肉骨骼疾病管理中的作用:再探讨。

The role of radiation treatment in the management of inflammatory musculoskeletal conditions: a revisit.

作者信息

Abdus-Salam Abbas A, Olabumuyi Adeniyi Adedayo, Jimoh Mutiu Alani, Folorunso Sharif Adeniyi, Orekoya Ajibike Ayomide

机构信息

Department of Radiation Oncology, University of Ibadan, Ibadan, Nigeria.

Department of Radiation Oncology, University College Hospital, Ibadan, Nigeria.

出版信息

Radiat Oncol J. 2020 Sep;38(3):151-161. doi: 10.3857/roj.2020.00178. Epub 2020 Jun 18.

Abstract

Inflammatory musculoskeletal conditions are a common group of diseases among the elderly, worldwide. They are characterized by articular degenerative changes accompanied with often debilitating pain. Treatments often involve life-long analgesic therapy or joint replacement in extreme cases. The aim of this current review is to look at the role of radiation treatment with the hope of further study into the effectiveness of radiation treatment in reducing pain, eliminate or reduce the need for life-long analgesic therapy and thereby avoiding the analgesics' side effects. Extensive literature search was done on PubMed and other available data base and the findings are presented and discussed. Literature showed that many countries in Europe, especially Germany use radiation routinely for the treatment of many degenerative disorders including osteoarthritis with good results and few side effects. A pilot study is therefore recommended with a view to establish the effectiveness or otherwise of this treatment method in patients.

摘要

炎性肌肉骨骼疾病是全球老年人中常见的一组疾病。其特征是关节退行性变,并常伴有使人衰弱的疼痛。治疗通常包括终身镇痛治疗,在极端情况下还包括关节置换。本综述的目的是探讨放射治疗的作用,以期进一步研究放射治疗在减轻疼痛、消除或减少终身镇痛治疗需求从而避免镇痛药物副作用方面的有效性。我们在PubMed和其他可用数据库上进行了广泛的文献检索,并展示和讨论了研究结果。文献表明,欧洲许多国家,尤其是德国,常规使用放射治疗多种退行性疾病,包括骨关节炎,效果良好且副作用较少。因此,建议开展一项试点研究,以确定这种治疗方法对患者是否有效。

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