A retrospective study on the efficacy of pubic symphysis corticosteroid injections in the treatment of pubic symphysis pain.
A retrospective study on the efficacy of pubic symphysis corticosteroid injections in the treatment of pubic symphysis pain.
复制标题
耻骨联合皮质类固醇注射治疗耻骨联合疼痛疗效的回顾性研究。
DOI：
10.1111/j.1526-4637.2011.01263.x
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Mallinson,Trudy
中科院分区：
文献类型：
--
作者：
Fitzgerald,ColleenM;Plastaras,Christopher;Mallinson,Trudy
目的：报告X线透视引导下对比增强耻骨联合皮质类固醇注射治疗耻骨联合疼痛（PSP）患者的即时和随访疼痛强度结局。设计：回顾性病历回顾。设置：门诊康复诊所。受试者：接受耻骨联合皮质类固醇注射（PSI）的PSP患者结果：14名患者（4名男性和10名女性）接受了PSI。5名患者的PSP少于6个月，9名患者有慢性疼痛（> 6个月）。在10名女性中，有7名女性的疼痛与妊娠有关。所有患者在注射前均接受了其他治疗。耻骨联合压痛是最常见的体格检查结果（13/14例患者）。随访疼痛强度（PI）-NRS改善大于2分被认为具有临床意义。随访时，改善无统计学显著性（Wilcoxon符号秩检验，z= 1.62 P = 0.10）。疼痛6个月的患者<6 months did not have a greater likelihood of benefit at follow-up compared with those with pain for >（Fisher精确检验，P= 0.775）。结论：在PSP患者的随访中，PSIs没有提供临床或统计学上显著的缓解。
Objective.To report immediate and follow-up pain intensity outcomes of fluoroscopically guided contrast- enhanced pubic symphysis corticosteroid injections for patients with pubic symphysis pain (PSP).Design.Retrospective medical record review.Setting.Outpatient rehabilitation clinic.Subjects.Patients with PSP who underwent pubic symphysis corticosteroid injection (PSI).Intervention.Pubic symphysis corticosteroid injection.Outcome Measures.Pain intensity as measured by numeric rating scale (NRS).Results.Fourteen patients (4 men and 10 women) underwent PSI. Five patients had PSP for less than 6 months, nine had chronic pain (>than 6 months). In 7 of the 10 women the pain was pregnancy related. All patients received other treatments prior to injection. Pubic symphysis tenderness was the most common physical examination finding (13/14 patients). Follow-up pain intensity (PI)-NRS improvement of greater than 2 points was considered clinically significant. At follow-up, improvement was not statistically significant (Wilcoxon signed-rank test,z= 1.62P= 0.10). Patients with pain <6 months did not have a greater likelihood of benefit at follow-up compared with those with pain for >6 months (Fisher's exact test,P= 0.775).Conclusions.PSIs do not provide clinically or statistically significant relief at follow-up in patients with PSP.