用于治疗腕管综合征的注射疗法：文献综述
Injections for treatment of carpal tunnel syndrome: A narrative review of the literature.
作者信息
Cage Emily S, Beyer Julia J, Ebraheim Nabil A
机构信息
Department of Orthopaedic Surgery, University of Toledo, 3000 Arlington Ave, Toledo, OH, 43614, United States.
出版信息
J Orthop. 2023 Feb 21;37:81-85. doi: 10.1016/j.jor.2023.02.011. eCollection 2023 Mar.
BACKGROUND
Carpal tunnel syndrome is an extremely common condition in the general population. Nonoperative treatment is a mainstay of management prior to surgical carpal tunnel release. Injections are frequently used as treatment, especially corticosteroid injections, but there is little consensus in the literature regarding injection number, volume, corticosteroid dose, and technique.
METHODS
A comprehensive literature search was performed of PubMed to identify papers relating to corticosteroid injections as well as other injections performed in patients with carpal tunnel syndrome.
RESULTS
A total of 45 articles were selected for inclusion in this review. Corticosteroid injections for carpal tunnel syndrome are discussed in detail, including injection number, volume, and technique as well as corticosteroid dose. Alternative injections for management of carpal tunnel syndrome are also discussed.
CONCLUSIONS
Corticosteroid injections have been identified as a safe, effective short term management option for carpal tunnel syndrome. However, there is no standardized recommendation for specifics of their use in relation to corticosteroid dose, number of injections, injectate volume, and use of ultrasound guidance. Further research is required to better establish the optimal role for corticosteroid injections in the treatment of carpal tunnel syndrome. Platelet rich plasma, lidocaine, and hyaluronic acid, among others, are additional injections that warrant further exploration for use in management of carpal tunnel syndrome.
背景
腕管综合征在普通人群中极为常见。非手术治疗是手术松解腕管之前的主要治疗方法。注射治疗经常被使用，尤其是皮质类固醇注射，但关于注射次数、剂量、皮质类固醇剂量和技术，文献中几乎没有共识。
方法
对PubMed进行全面的文献检索，以确定与皮质类固醇注射以及在腕管综合征患者中进行的其他注射相关的论文。
结果
共选择了45篇文章纳入本综述。详细讨论了用于腕管综合征的皮质类固醇注射，包括注射次数、剂量和技术以及皮质类固醇剂量。还讨论了用于治疗腕管综合征的其他注射方法。
结论
皮质类固醇注射已被确定为腕管综合征安全、有效的短期治疗选择。然而，关于其使用的具体细节，如皮质类固醇剂量、注射次数、注射量和超声引导的使用，尚无标准化建议。需要进一步研究以更好地确定皮质类固醇注射在腕管综合征治疗中的最佳作用。富含血小板血浆、利多卡因和透明质酸等其他注射方法，在腕管综合征治疗中的应用值得进一步探索。
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