肩部功能障碍后脊柱辅助神经保护部解剖:我们的经验
Kshitij Shah1, Shivali Patekar1, M Ishwarya1
1Department of ENT and Head and Neck Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra India.
概括
在部剖析中维护脊柱辅助神经可以减少肩部功能障碍. 积极的康复和随访对于改善口腔癌手术后患者的治疗结果和生活质量至关重要.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 神经外科 神经外科
背景情况:
- 部剖析对于口腔癌治疗至关重要,但可能导致肩部功能障碍.
- 保护脊柱辅助神经的目的是减轻这种特定的发病率.
研究的目的:
- 为了分析口腔癌患者的功能结果,这些患者接受了部剖析,并保留了脊柱辅助神经.
- 为了评估手术后的肩膀疼痛和残疾.
主要方法:
- 一项针对45名口腔癌患者的前性观察性研究.
- 脊柱辅助神经功能,肩膀疼痛和残疾 (手臂绑架测试) 进行了手术前和后的评估.
- 患者接受了康复和定期随访.
主要成果:
- 在术后,89%的患者有有限的手臂绑架 (得分1) 和显著的疼痛 (得分6或8).
- 经过6个月的康复治疗,62%的患者改善到4+的手臂绑架评分,所有患者报告疼痛评分为4或更低.
结论:
- 肩部功能障碍甚至可以发生在脊柱辅助神经的保护下.
- 积极的康复和持续的随访显著降低了肩部综合征的发病率.
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