Department of Otorhinolaryngology, Head and Neck Surgery, Zigong First People's Hospital, No. 42, Shangyi Haozhi Road, Zigong, 643000, Sichuan, China.
J Orthop Surg Res. 2023 Jan 14;18(1):38. doi: 10.1186/s13018-022-03486-7.
To clarify the clinical efficacy of styloid incision truncation via percutaneous punching in treating styloid process (styloid) syndrome.
The clinical data of 40 styloid syndrome patients treated in our hospital from July 2018 to August 2021 were chosen and divided into an observation group and a control group in a random manner, with 20 cases in each. The control group received treatment with styloid truncation via an external cervical approach, and the observation group received treatment with styloid incision truncation via percutaneous punching. The operation time, intraoperative blood loss, length of truncated styloid, clinical efficacy, pain scores, postoperative complications and inflammatory cytokine levels were assessed in the both groups.
The intraoperative blood loss, operation time, length of truncated styloid and hospital stay in the observation group were significantly lower than those in the control group (P < 0.05). VAS pain scores were higher in both groups after the operation compared to before the operation. However, the observation group showed a statistically significant reduction in comparison with the control group (P < 0.05). The treatment effectiveness and complication rates of the two groups exhibited significant differences (P < 0.05). After the operation, TNF-α, CRP, and IL-6 levels in both groups were elevated compared to those before the operation. The observation group, however, showed significant depletion compared to the control group (P < 0.05).
Styloid incision truncation via percutaneous punching was not only effective in treating styloid syndrome, but also caused less trauma and fewer complications. It promotes patient recovery and requires a simple operation, making it worthy of promotion in hospitals.
阐明经皮打孔茎突截骨术治疗茎突综合征的临床疗效。
选取 2018 年 7 月至 2021 年 8 月我院收治的 40 例茎突综合征患者的临床资料,采用随机数字表法分为观察组和对照组,各 20 例。对照组采用颈外入路茎突截骨术治疗,观察组采用经皮打孔茎突截骨术治疗。评估两组患者的手术时间、术中出血量、截骨长度、临床疗效、疼痛评分、术后并发症及炎症因子水平。
观察组术中出血量、手术时间、截骨长度及住院时间均明显短于对照组(P<0.05)。两组术后 VAS 疼痛评分均高于术前,但观察组明显低于对照组(P<0.05)。两组治疗效果及并发症发生率比较差异有统计学意义(P<0.05)。两组术后 TNF-α、CRP、IL-6 水平均高于术前,观察组明显低于对照组(P<0.05)。
经皮打孔茎突截骨术治疗茎突综合征疗效确切,创伤小,并发症少,有利于患者康复,操作简单,值得在医院推广。