骨关节感染中的鼻通道:最小侵入性的救赎还是长期的痛苦? 一个多中心研究
Sebastian Martin Klim1, Florian Amerstorfer1, Martin A McNally2
1Department of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.
Journal of personalized medicine
|May 27, 2023
概括
患有慢性鼻通道的患者由于耐治疗的周围假肢关节感染 (PJI) 或骨髓炎报告了可接受的生活质量. 身体功能受损,但精神健康状况与一般人群相比.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 生活质量研究 研究 生命质量研究
背景情况:
- 慢性周假肢关节感染 (PJI) 和骨髓炎带来了重大治疗挑战.
- 作为这些慢性感染的后果,鼻腔道可能会形成,影响患者的福祉.
研究的目的:
- 评估慢性鼻通道二次性治疗耐药PJI或骨髓炎的患者的生活质量 (QOL) 和功能结果.
- 在这个患者群体中评估心理健康和身体功能.
主要方法:
- 在三个国家参考中心进行了后续研究.
- 使用医院焦虑和抑郁量表 (HADS-D/A),视觉模拟量表 (VAS) 和简短表格-36 (SF-36) 进行评估.
- 包括48名患有PJI或骨髓炎的慢性鼻通道的患者.
主要成果:
- 平均随访时间为43.1个月.
- SF-36心理组件总结 (MCS) 和HADS-焦虑 (HADS-A) 评分与标准人群相当.
- SF-36物理组件总结 (PCS) 和HADS-抑郁症 (HADS-D) 的分数明显更差.
结论:
- 鼻通道可以是一个可行的治疗选择,选择的慢性PJI或骨髓炎的患者,提供一个可接受的QOL.
- 建议在多病患者或由于骨质/软组织质量导致手术候选人不佳的患者考虑道管理.
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