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首页> 外文期刊>Open Journal of Urology >Corticosteroid Injection by Palpation Guide versus Palpation Guide and Needling Method for Coccydynia
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Corticosteroid Injection by Palpation Guide versus Palpation Guide and Needling Method for Coccydynia

机译：皮质类固醇注射通过触诊导向与触诊指南和Coccynia的针刺方法

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Background: Coccydynia is a painful condition with tenderness and ache in sacrococcygeal area which may radiate to the buttocks and lower back. Coccydynia is a multifactorial disorder and the most common cause of it is trauma. The initial treatment of the disease is conservative methods. One of the most common conservative treatments of chronic coccydynia is the local corticosteroid injection, which performed usually by palpation-guided method. This study was conducted to compare the effectiveness of local corticosteroid injection using palpation and needling method with palpation method alone. Patients and Methods: In this prospective study , 50 patients with the diagnosis of coccydynia were enrolled between 2010 and 2017. All patients had chronic coccydynia which did not respond to conservative therapy for at least three months. Participants were divided into two groups and each group consisted of 25 individuals. Patients who underwent local corticosteroid injection using palpation guide technique alone were assigned as group A and others who underwent palpation guid ing injection with needling technique were considered as group B. Results: There was a statistically significant difference between the mean VAS scores in preinjection and final follow up visit in each groups (P value < 0.001). Moreover , the difference between the mean VAS scores of the final visit in groups A and B w as statistically significant (P value < 0.001). Conclusion: Local corticosteroid injection using palpation guid ing technique with needling is an uncomplicated, inexpensive, and effective invasive conservative treatment for refractory chronic coccydynia.
机译：背景：Coccydynia是一种痛苦的病情，骶骨肌肉区域的痛苦和疼痛，可能辐射到臀部和下背部。 Coccydynia是一种多因素障碍，最常见的原因是创伤。疾病的初始治疗是保守方法。慢性Coccydynia最常见的保守治疗之一是局部皮质类固醇注射，其通常通过触发引导方法进行。进行该研究以比较局部皮质类固醇注射用触诊法单独使用触诊法的疗效。 患者和方法：在这项前瞻性研究中，50例患者诊断的Coccydynia患者在2010年和2017年之间注册。所有患者患有慢性Coccydynia，没有响应保守疗法至少三个月。参与者分为两组，每组由25个人组成。单独使用触诊指南技术接受局部皮质类固醇注射的患者被分配为A组和接受触诊术后的其他人用针刺技术进行注射，被认为是B. 结果：平均VAS分数之间存在统计学上显着差异每组预注化和最终后续访问（P值<0.001）。此外，在A和B W组中最终访问的平均VAS分数与B统计学意义（P值<0.001）之间的差异。 结论：局部皮质类固醇注射使用触诊指导，针刺技术是一种简单，廉价，有效的难治性慢性Coccydynia的侵入性保守治疗。

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