
一种非手术疗法通过暂时阻断膝关节周围的多余血管,为膝骨关节炎患者提供了持久的止痛效果。
A non-surgical procedure that temporarily blocks extra blood vessels in the knee is offering lasting pain relief for people with knee osteoarthritis.
在一项涉及194名患者的临床研究中,80%的受试者表示,在接受治疗后至少整整一年内,膝关节疼痛显著减轻。
In a clinical study of 194 patients, 80% of them reported significant reductions in knee pain that lasted for at least a full year after receiving the treatment.
研究结果凸显了一种潜在的替代方案,适用于数百万深受慢性关节疼痛折磨、药物或类固醇注射已不再奏效、但又希望避免全膝关节置换手术的成年人。
The findings highlight a potential alternative for millions of adults with chronic joint pain who have outgrown pain medications or steroid injections — but who want to avoid total knee replacement.
据梅奥诊所介绍,骨关节炎会磨损关节软骨,并导致人体在膝关节周围生长出不必要的新血管。
Osteoarthritis wears down joint cartilage and causes the body to grow unnecessary new blood vessels around the knee, according to Mayo Clinic.
这些多余的血管会加剧炎症并刺激周围神经,使日常活动变得疼痛难忍。这种被称为生殖动脉栓塞术(GAE)的疗法直接针对这一问题。
These extra vessels increase inflammation and irritate surrounding nerves, making daily movement painful. The procedure, known as genicular artery embolization (GAE), addresses this directly.
医生通过暂时堵塞多余血管,可在不进行大手术、不植入永久性装置的情况下,减轻炎症并平息痛觉神经。
By temporarily clogging excess blood vessels, doctors can reduce inflammation and quiet pain-sensing nerves without major surgery or permanent implants.
由于治疗使用会随时间溶解的微小明胶颗粒,因此不会在体内留下异物。研究人员表示,如果广泛推广,GAE可为患者提供一种可重复、低风险的方式,帮助他们保持活跃并更长久地维持关节功能。
Because the treatment uses microscopic gelatin particles that dissolve over time, it leaves no foreign material behind. If widely adopted, GAE could provide a repeatable, low-risk way for patients to stay active and preserve joint function longer, researchers say.

“目前,许多膝骨关节炎患者面临着真实的治疗空白,”柏林夏里特大学医学中心介入放射学米特校区副主任弗洛里安·尼马·弗莱肯施泰因医生在新闻稿中说。
"For many patients with knee osteoarthritis, there is a real treatment gap today," said Florian Nima Fleckenstein, M.D., deputy head of Interventional Radiology Campus Mitte, Charité-Universitätsmedizin Berlin, in a press release.
“我们的研究表明,使用快速可吸收的明胶基微球进行GAE,是一种安全、微创的疗法,能为骨关节炎相关膝关节症状患者提供有意义的止痛效果和功能改善,疗效至少持续12个月。” 在GAE过程中,医生利用实时X射线引导,将一根细长柔软的导管导入膝关节周围的血管内。
"Our study demonstrates that GAE using rapidly resorbable gelatin-based microspheres is a safe, minimally invasive therapy that provides meaningful pain relief and functional improvement in participants with osteoarthritis-related knee symptoms for at least 12 months." During GAE, doctors use real-time X-ray guidance to steer a thin, flexible tube into the blood vessels surrounding the knee joint.
随后,他们向特定血管释放微小、可溶解的明胶颗粒,以减缓流向发炎区域的过量血流。
Then they release tiny, dissolvable gelatin particles into specific vessels to slow excess blood flow to the inflamed areas.
在194名研究参与者共接受的239例手术中,没有人出现严重并发症。
Across 239 total procedures performed on 194 study participants, none experienced severe complications.

只有6.7%的人报告了轻微的副作用,例如短暂的皮肤变色或轻微瘀伤,这些问题都自行消退。
Only 6.7% reported mild side effects, such as brief skin discoloration or minor bruising, issues that resolved on their own.
弗莱肯施泰因说:“在我们的队列中,我们看到疼痛显著下降,功能显著提升,包括运动和娱乐以及日常活动。”
"In our cohort, we saw a significant drop in pain and a significant increase in function, including sports and recreation and daily activity," Fleckenstein said.
“最重要的是,他们的生活质量显著提高。”除了疼痛减轻外,参与者的日常活动能力也有所改善。患者报告说,走路、爬楼梯和弯腰都更容易了,而在12个月的随访期内,整体生活质量评分增加了一倍多。尽管结果令人鼓舞,但研究人员指出了几个重要的局限性。首先,该研究没有纳入接受模拟或安慰剂手术的对照组。
"Most importantly, their quality of life significantly increased." In addition to feeling less pain, participants experienced gains in daily mobility. Patients reported easier walking, climbing stairs and bending, while overall quality-of-life scores more than doubled over the 12-month follow-up period. While the results are promising, researchers note several important limitations. First, the study did not include a control group receiving a mock or placebo procedure.
研究人员表示,没有对照组,就很难将可溶解颗粒的物理益处与潜在的安慰剂效应区分开来。其次,该研究仅对患者进行了一年的跟踪。
Without a comparison group, it is difficult to isolate the physical benefits of the dissolvable particles from potential placebo effects, the researchers said. Second, the study tracked patients for only one year.
需要进一步研究来确定疼痛缓解通常能持续多久,以及可能需要多久重复治疗一次。
Further research is needed to determine how long the pain relief typically lasts and how often repeat treatments might be required.
最后,研究人员表示,虽然GAE能有效减轻炎症和疼痛,但它并不是一种治愈方法。
Finally, while GAE effectively reduces inflammation and pain, the researchers said it is not a cure.
该手术不能重建丢失的软骨,也不能逆转关节的结构性损伤。目前正在进行更大规模的随机试验,以证实这些早期发现。福克斯新闻数字频道联系了该研究的作者,请其进一步置评。
The procedure does not rebuild lost cartilage or reverse structural joint damage. Larger, randomized trials are currently underway to confirm these early findings. Fox News Digital reached out to the study authors for further comment.