在梯形切除术后复发或持续症状的诊断和治疗建议:Delphi研究
Daniel B Herren1, Michel Boeckstyns2, Kevin C Chung3
1Schulthess Klinik, Zurich, Switzerland.
The Journal of hand surgery, European volume
|January 31, 2024
概括
这项研究开发了一种诊断和治疗算法,用于在形甲手腕关节切除关节整形术后的持续症状. 该算法帮助外科医生识别病因并选择有效的修订策略,以改善患者的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 重建性手术是一种重建性手术.
背景情况:
- 在梯形甲手腕关节切除关节整形术后,可能会出现持久或复发的症状.
- 制定标准化的方法对于管理这些具有挑战性的案例至关重要.
研究的目的:
- 建立一个基于共识的诊断和治疗算法,用于管理形甲手腕关节切除关节整形术后的持续症状.
- 为手术手术医生提供处理修订场景的指导.
主要方法:
- 一项为期三轮的德尔菲研究,涉及全球140名经验丰富的手术医生.
- 通过调查,就诊工具和治疗策略达成共识.
- 为了达成共识,设置了67%的协议门.
主要成果:
- 在诊断工具方面达成共识:放射图 (97%) 是主要的,CT扫描 (76%) 是次要的.
- 对于伤口甲手腕刺,修订与自身肌的插座 (93%) 被赞成 (67%的同意).
- 68%的参与者认为额外的暂停是适当的.
结论:
- 开发的算法有效地指导外科医生在诊断和治疗形甲手腕关节切除关节整形术后的持续症状.
- 这种以共识为导向的方法可以优化治疗选择,并在修订病例中改善患者管理.
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