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辐射前臂自由关闭与分裂厚度皮肤移植的结果与初级关闭相比

Dorsa Mousa-Doust¹, Anat Bahat Dinur¹, Sena Turkdogan¹

¹Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.

The Laryngoscope

|May 24, 2024

概括

分厚皮肤移植 (STSG) 关闭辐射前臂自由捐赠部位,提供比刀更好的痕质量和患者满意度. 然而,STSG与肌暴露的风险更高有关.

科学领域:

整形外科整形外科整形外科
重建性手术是一种重建性手术.
研究结果研究结果研究

背景情况:

辐射前臂自由 (RFFF) 是一种常见的重建技术.
捐赠者网站关闭方法影响功能和美学结果.
比较分厚皮肤移植 (STSG) 和斧头对于优化患者护理至关重要.

研究的目的:

为了比较患者报告的STSG的功能和美学结果与RFFF捐赠站点关闭的斧头.
为了评估两种关闭方法之间的痕质量和患者满意度.

主要方法:

对RFFF患者 (2015-2020年) 的回顾性研究.
患者报告的结果 (PRO) 采集使用患者观察者痕评估量表 (POSAS) 和密歇根手部结果问卷 (MHOQ).
在STSG和斧组之间的结果比较.

主要成果:

在STSG中,肌暴露率较高 (11对1,p=0.0019),但皮肤亡率较低 (5对16,p=0.0190) 和表皮溶解率较低 (1对12,p=0.0028).
在所有POSAS领域,STSG的痕质量优于STSG.
密歇根手术结果问卷分数在各组之间是相似的 (p=0.2165).

结论:

关闭RFFF捐赠站点的STSG导致改善了痕质量和患者满意度.
与斧头相比,STSG可能会导致日常活动中的妥协较少.
较高的肌暴露率与STSG需要在手术规划中考虑.

关键词:

审美和功能结果的结果.捐赠地点的发病率捐赠地点的发病率主要关闭的主要关闭辐射前臂免费翻盖分厚的皮肤移植.

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