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Samuel Schick¹, Omer Yousuf¹, Mathew Hargreaves¹

¹From the Department of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham.

Southern medical journal

|December 27, 2023

概括

患者报告的过敏与胸部出口综合征手术后的较差结果相关,特别是在女性中. 这一发现有助于为患者提供有关手术预期和潜在结果的咨询.

科学领域:

整形外科整形外科整形外科
神经外科神经外科
过敏免疫学免疫学

背景情况:

胸腔出口综合征 (TOS) 是一种神经血管疾病,由于压缩而导致部和上肢疼痛.
之前的研究表明,患者过敏和手术结果之间存在联系.
过敏和TOS手术结果之间的关系需要进一步调查.

研究的目的:

为了评估患者报告的过敏和术后患者报告的结果 (PRO) 评分之间的关联,在TOS进行手术减压后.

主要方法:

一次回顾性图表审查确定了接受TOS减压的患者.
七十五名患者完成了五个通过电话管理的PRO问卷.
用皮尔森相关系数分析过敏,PRO和人口统计变量之间的关联.

主要成果:

报告过敏的数量和较差的PRO分数在QuickDASH,宫支臂症状问卷,单次评估数值评估和视觉模拟尺度上观察到显著的相关性.
过敏也与女性性别和更多的药物相关.
具体来说,接受TOS手术的女性显示过敏和更差的PRO分数之间存在显著的关联.

结论:

患者报告过敏的增加与TOS手术减压后妇女的PRO得分下降有显著联系.
了解这种相关性可以改善医生与患者之间的咨询,以改善预期的外科手术结果.
进一步的研究可能会探索这种关联的潜在机制.

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