■肌腱病是一种以肌腱障碍为特征的疾病状态,伴有疼痛或功能下降,可导致严重残疾。存在多种治疗方式;然而,没有单一的治疗是优越的。超声引导下经皮穿刺术(PNT)和TENEX正在成为肌腱病的有希望的治疗选择。
■为了回顾目前关于PNT结果报告的文献,TENEX,和TENJET,用于治疗肌腱病,包括疼痛缓解,功能改变,和患者报告的结果。
■从数据库开始到2023年9月在OvidMedline进行了全面搜索,OvidEmbase,科克伦图书馆
■与肌腱损伤相关的关键词和索引术语,超声,和肌腱切开术结合使用,以确定相关文献,包括超声引导,肌腱病的治疗,用PNT治疗,TENEX,或TENJET。用于筛选相关研究的Covidence系统审查软件。只包括英语学习。
■系统审查使用PICO框架定义并在国际前瞻性系统审查注册(PROSPEROIDCRD42022321307)注册。
■第4级(包括从系统评价到最低研究水平的证据)。
■审查了符合纳入标准的文章。研究了肌腱病的类型和区域,结果衡量标准,并记录并发症。在研究中比较了临床和自我报告的结果数据。
■共10项研究,代表11个肌腱部位,包括在内。这些研究总体上报告了疼痛的改善,函数,以及接受PNT或TENEX后的生活质量,最小的不利影响。在纳入研究的评估内部和外部有效性的10个评估中,偏倚评估得分平均为8.35。
■PNT和TENEX是安全的,有益的,和患者的微创治疗选择,特别是对于更保守治疗方案难以治疗的条件。
UNASSIGNED: Tendinopathy is a disease state characterized by tendon disorder with pain or decreased function that can cause significant disability. Multiple treatment modalities exist; however, no single treatment is superior. Ultrasound-guided percutaneous needle tenotomy (PNT) and TENEX are emerging as promising treatment options for tendinopathy.
UNASSIGNED: To
review the current literature of reported outcomes for PNT, TENEX, and TENJET, for the treatment of tendinopathy, including pain relief, change in function, and patient-reported outcomes.
UNASSIGNED: A comprehensive search was conducted from database inception to September 2023 in Ovid Medline, Ovid Embase, and Cochrane Library.
UNASSIGNED: Keywords and index terms related to tendon injury, ultrasound, and tenotomy were used in combination to identify relevant literature that included ultrasound-guidance, treatment of tendinopathy, and treatment with PNT, TENEX, or TENJET. Covidence Systematic
Review Software used to screen for relevant studies. Only English-language studies were included.
UNASSIGNED: Systematic
Review using PICO framework as defined and registered with the International Prospective Register of Systematic Reviews (PROSPERO ID CRD42022321307).
UNASSIGNED: Level 4 (evidence from a systematic
review graded to the lowest level of study included).
UNASSIGNED: Articles meeting the inclusion criteria were reviewed. Type and region of tendinopathy studied, outcome measures, and complications were recorded. Clinical and self-reported outcomes data were compared across studies.
UNASSIGNED: A total of 10 studies, representing 11 tendon sites, were included. The studies overall report improvements in pain, function, and quality of life after undergoing PNT or TENEX, with minimal adverse effects. Mean risk of bias assessment scores were 8.35 out of 10 assessing internal and external validity for included studies.
UNASSIGNED: PNT and TENEX are safe, beneficial, and minimally invasive treatment option for patients, especially for conditions refractory to more conservative treatments options.