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门诊患者与住院患者的肩部整形关节整形:并发症率,临床结果和资格参数

Pierre-Henri Flurin¹, Pierre Abadie¹, Pierre Lavignac²

¹Bordeaux Merignac Sports Clinic, Bordeaux, France.

JSES international

|May 6, 2024

概括

门诊全肩关节整形手术 (TSA) 是安全有效的,没有增加并发症的风险. 与住院患者相比,接受门诊TSA的患者经历了早期功能结果的改善.

科学领域:

整形外科手术整形外科手术
关节质整术是指关节质整术.
患者的治疗结果.

背景情况:

肩膀整形术 (TSA),手术技术,麻醉和康复的进步使门诊护理成为可能.
常规门诊TSA是在欧洲机构进行的.

研究的目的:

定义门诊的TSA人口.
验证门诊TSA不会增加并发症风险.
确定患者符合门诊TSA的资格.
将功能结果进行比较,并确定影响因素.

主要方法:

研究了接受初级TSA治疗的165名患者 (106名门诊患者,59名住院患者).
在这两组人群中都使用了标准化操作技术.
人口统计,并发症,再录取,修订和功能评分 (例如,Constant,ASES,UCLA) 在手术前和手术后收集.

主要成果:

门诊患者年轻,美国麻醉学会 (ASA) 评分较低.
复发症,再入院和重新手术的发生率在各组之间没有显著差异.
门诊TSA并不是并发症的独立风险因素.
外科患者在手术后1.5个月显示出统计学上显著的更好的功能评分.

结论:

在欧洲医疗保健系统中常规的门诊TSA是安全的,不会增加并发症风险.
门诊TSA与早期功能结果的改善有关.
门诊护理在6个月或12个月后不会对功能结果产生负面影响.

关键词:

复杂性复杂性复杂性资格资格符合条件功能性结果功能性结果门诊整体肩膀关节整形手术.同一天的手术.运输安全局 (TSA) 的情况.

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