在儿童和成人患者接受触发指手术的主要负面预后因素
Muhammed Köroğlu1, Mustafa Karakaplan1, Mustafa Yıldız1
1Orthopaedics and Traumatology, İnönü University School of Medicine, Malatya, TUR.
Cureus
|April 1, 2024
概括
对于触发指的成年人来说,在手术前更高的绿色阶段和更长的症状持续时间表明结果较差. 儿科患者没有显示这些负面预后指标.
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
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 触发指是一种常见的影响手部功能的疾病,在儿童和成人群体中呈现的不同.
- 识别负面预后指标对于管理患者期望和优化手术结果至关重要.
研究的目的:
- 调查儿童和成人患者的触发指手术后预测并发症,复发和满意度的因素.
- 为了区分儿科和成人触手指手术结果之间的预后指标.
主要方法:
- 对61名患者 (91名触发指) 的回顾性研究,包括31例儿科和30例成人病例.
- 标准化手术技术,分析人口统计,临床因素和患者报告的结果 (QDASH,VAS).
- 评估绿色分类,症状持续时间,并发症和手术史作为预后指标.
主要成果:
- 在成年人中,更高的绿色阶段和更长的手术前症状持续时间与增加的并发症,复发和更低的满意度相关.
- 儿科患者在格林的分类或症状持续时间和结果之间没有显著的相关性.
- 从诊所开始到手术的时间间隔较长与成人并发症有关,但儿童患者并非如此.
结论:
- 绿色阶段和症状持续时间是成人触发指手术的显著负面预后指标.
- 这些因素似乎不会影响儿科触手指病例的结果.
- 这些发现有助于医生进行治疗管理,并为改善患者满意度设定患者的期望.
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