Longstanding groin pain is a non-infectious and inflammatory chronic condition that causes inguinal pain in athletes. We compared dextrose prolotherapy (15% dextrose solution) and platelet-rich plasma (autologous platelet gel, plasma rich in growth factors, platelet concentrate) injections in male soccer players with longstanding groin pain. Forty elite male soccer players, ages between 13 and 33, with longstanding groin pain were treated. Patients were randomly divided into the dextrose prolotherapy (n= 9) and platelet-rich plasma injection (n= 6) groups. Following three injections, all patients were enrolled in the 12-week progressive home exercise protocol. Pain and function were assessed using the visual analogue (VAS) and Nirschl Pain Phase Scale (NPPS) scores before, one month after, and six months after the injection, respectively. VAS and NPPS scores decreased in both of the dextrose prolotherapy and the platelet-rich plasma injection groups. A decrease in pain and improvement in function were evident at a month after injection, and they remained favourable at the end of six months (VAS overall, p <0.001 and p= 0.003, respectively) (NPPS overall, p <0.001 and p= 0.007, respectively). A difference between the dextrose prolotherapy and the platelet-rich plasma injection groups was not observed at both time points (VAS, p= 0.3, p= 0.7, and p= 0.6 respectively) (NPPS, p= 0.6, p= 0.9, and p= 0.9 respectively). Dextrose prolotherapy and platelet-rich plasma injections decreased pain and improved function in longstanding groin pain treatment of male soccer players. These treatments should be considered in patients who are not responding to conservative treatment modalities.

中文翻译：

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在长期腹股沟痛中，右旋糖或自体富血小板血浆注射后疼痛和功能改善吗？

长期的腹股沟疼痛是一种非传染性炎性慢性疾病，会导致运动员腹股沟疼痛。我们比较了患有长期腹股沟疼痛的男性足球运动员的右旋糖Prolotherapy（15％右旋糖溶液）和富血小板血浆（自体血小板凝胶，富含生长因子的血浆，浓缩血小板）注射液的比较。治疗了40名年龄在13至33岁之间，长期腹股沟疼痛的精英男性足球运动员。将患者随机分为右旋糖治疗（n = 9）和富血小板血浆注射（n = 6）组。进行三次注射后，所有患者均参加了为期12周的进行性家庭锻炼方案。分别在注射前，注射后一个月和注射后六个月使用视觉类似物（VAS）和Nirschl疼痛相量表（NPPS）评分评估疼痛和功能。在葡萄糖溶液疗法和富含血小板的血浆注射组中，VAS和NPPS分数均降低。注射后一个月疼痛明显减轻，功能改善，并且在六个月末仍保持良好状态（VAS总体，p <0.001和p = 0.003）（NPPS总体，p <0.001和p =分别为0.007）。在两个时间点（VAS，分别为p = 0.3，p = 0.7和p = 0.6）（NPPS，p = 0.6，p = 0.9和NP），未观察到右旋糖替代疗法和富含血小板的血浆注射组之间的差异。 p = 0.9）。右旋糖Prolotherapy和富含血小板的血浆注射剂可减轻男性足球运动员长期腹股沟疼痛的疼痛并改善其功能。对保守治疗方式无反应的患者应考虑采用这些治疗方法。