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重植手术后的结果
Krystle R Tuaño1, Justin C McCarty1, Marlie H Fisher2
1Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
概括
手术移植的手指和四肢提供了显著的功能改善. 成功最好通过长期的功能结果来衡量,包括患者报告的结果,而不仅仅是生存率.
科学领域:
- 整形外科手术 整形外科手术
- 微手术 微手术是一种微手术.
- 康复医学 康复医学 康复医学
背景情况:
- 上肢受伤可能是毁灭性的,需要先进的手术干预,如移植.
- 移植手术的目的是恢复指数或肢体损失后的功能.
- 定义和衡量重植成功是复杂的,它超出了急性生存.
研究的目的:
- 探索手术移植的结果,重点关注功能性结果.
- 为了调查客观的临床评估和患者报告的移植后的结果.
- 解决重新种植文献中结果测量的异质性.
主要方法:
- 关于数字和四肢移植结果的报告研究的文献综述.
- 对客观临床结果措施的分析.
- 检查患者报告的结果措施 (PROMs).
主要成果:
- 用于评估再种植结果的方法存在显著差异.
- 目标措施和PROM提供了对功能成功的不同视角.
- 对于可比数据,需要对结果评估进行标准化.
结论:
- 长期的功能结果,包括临床和患者报告的数据,对于评估移植成功至关重要.
- 解决结果措施的变化将提高对再种植结果的理解和报告.
- 进一步的研究应侧重于在移植手术中进行标准化,全面的结果评估.
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