IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedics and Traumatology Clinic, University of Bologna, Bologna, Italy.
Musculoskelet Surg. 2024 Jun;108(2):133-138. doi: 10.1007/s12306-023-00786-x. Epub 2023 Jun 20.
The aim of the present study is to systematically review the current literature about diagnosis and treatment of acute inflammatory sacroiliitis in pregnant or post-partum women. A systematic search was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data about clinical presentation, diagnosis methods and treatment strategies were retrieved from included studies and reported in a table. After screening, five studies on 34 women were included; they were all affected by acute inflammatory sacroiliitis. Clinical examination and magnetic resonance imaging were used to confirm diagnosis. In four studies, patients were treated with ultrasound-guided sacroiliac injections of steroids and local anesthetics, while one study used only manual mobilization. Clinical scores improved in all patients. Ultrasound-guided injections proved to be a safe and effective strategy for inflammatory sacroiliitis treatment during pregnancy or post-partum.
本研究旨在系统回顾目前关于妊娠或产后女性急性炎症性骶髂关节炎的诊断和治疗的文献。根据系统评价和荟萃分析的首选报告项目进行了系统搜索。从纳入的研究中检索了有关临床表现、诊断方法和治疗策略的数据，并在表格中报告。筛选后，纳入了 5 项关于 34 名女性的研究，均为急性炎症性骶髂关节炎。临床检查和磁共振成像用于确认诊断。在 4 项研究中，患者接受了超声引导下的骶髂关节类固醇和局部麻醉注射治疗，而 1 项研究仅使用手动松动。所有患者的临床评分均有所改善。超声引导下注射被证明是一种安全有效的妊娠或产后炎症性骶髂关节炎治疗策略。
