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关节与针剂:放射性滑膜切除术综述

Joints and needles: summary of radiosynoviorthesis.

作者信息

Bieńkowski Krzysztof, Kocemba Michał, Kunikowska Jolanta

机构信息

Department of Nuclear Medicine, Medical University of Warsaw, Poland.

出版信息

Reumatologia. 2025 Mar 13;63(3):174-181. doi: 10.5114/reum/200530. eCollection 2025.

Abstract

Radiosynoviorthesis is a minimally invasive treatment for inflammatory joint disorders. It is an alternative to surgical synovectomy and is used when systemic treatment and intraarticular glucocorticosteroid injections have failed. This literature review summarizes the effectiveness of this method in various inflammatory joint disorders. A systematic literature search was performed in the PubMed, Embase, Web of Science and DOAJ databases. Depending on the type of inflammation and level of joint destruction, the effectiveness of therapy is 50-80%, up to even 90-100% in hemarthrosis. The present study demonstrates that the therapy is safe, with almost no side-effects. It provides long-term cost-effectiveness for patients due to its ambulatory characteristics, does not require rehabilitation, and leads to reduced use of other therapies. Moreover, it may be used as an independent type of therapy as well as a part of complex treatment. Given its benefits, the method should be considered by specialists of various fields.

摘要

放射性滑膜切除术是一种用于治疗炎症性关节疾病的微创治疗方法。它是手术滑膜切除术的替代方法,当全身治疗和关节内糖皮质激素注射失败时使用。这篇文献综述总结了该方法在各种炎症性关节疾病中的有效性。在PubMed、Embase、Web of Science和DOAJ数据库中进行了系统的文献检索。根据炎症类型和关节破坏程度,治疗的有效率为50-80%,在关节积血中甚至高达90-100%。本研究表明该治疗方法是安全的,几乎没有副作用。由于其门诊治疗的特点,它为患者提供了长期的成本效益,不需要康复治疗,并减少了其他治疗方法的使用。此外,它既可以作为一种独立的治疗方式,也可以作为综合治疗的一部分。鉴于其益处,各领域的专家都应考虑采用该方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a6/12264741/148a66aa6b7e/RU-63-200530-g001.jpg

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