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首页> 外文期刊>The American journal of geriatric pharmacotherapy >Accuracy of Diagnostic Injection in Differentiating Source of Atypical Hip Pain
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Accuracy of Diagnostic Injection in Differentiating Source of Atypical Hip Pain

机译：诊断注射在鉴别非典型髋痛来源中的准确性

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摘要

It is not uncommon to encounter patients with atypical hip or lower extremity pain, ill-defined clinicoradiological features, and concomitant hip and lumbar spine arthritis. The purpose of this study is to present our experience using the response resulting from a combined anesthetic-steroid hip injection for treatment selection in these patients. A retrospective analysis of 204 consecutive diagnostic hip injections was undertaken. Patient charts were scrutinized for outcomes of injection and treatment. Our findings suggest that the relief of symptoms following injection of local anesthetic and steroid into the hip joint has a sensitivity of 91.5%, specificity and positive predictive value of 100%, and negative predictive value of 84.6% for response to total hip arthroplasty. We thereby believe that this is a reliable test with low morbidity and can predict the potential benefit of total hip arthroplasty in this diagnostically challenging group of patients.
机译：遇到非典型髋部或下肢疼痛，临床放射学特征不明确以及伴有髋和腰椎关节炎的患者并不少见。这项研究的目的是介绍我们使用麻醉性类固醇激素联合注射产生的反应来选择这些患者的经验。回顾性分析204例连续性髋关节注射。检查患者图表以了解注射和治疗的结果。我们的研究结果表明，将局部麻醉剂和类固醇注入髋关节后，对全髋关节置换术的敏感性为91.5％，特异性和阳性预测值为100％，阴性预测值为84.6％。因此，我们认为这是一种具有低发病率的可靠测试，并且可以预测在这一具有诊断挑战性的患者组中进行全髋关节置换术的潜在益处。

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