在阿基里斯肌破裂修复后,深静脉血栓症会影响患者的长期结局
Susanna Aufwerber1,2, Simon Svedman1,3, Karin Grävare Silbernagel4
1Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
概括
在阿基里斯肌破裂 (ATR) 修复后的深静脉血栓 (DVT) 对长期功能结果产生负面影响. 早期识别和管理DVT等危险因素对于改善患者康复至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 血管医学 血管医学
- 康复科学 康复科学 康复科学
背景情况:
- 阿基里斯肌破裂 (ATR) 修复结果受到各种因素的影响.
- 深静脉栓塞 (DVT) 是下肢手术后的潜在并发症.
- 在ATR维修后的长期功能恢复需要全面的评估.
研究的目的:
- 评估DVT在ATR修复后对患者结果的3年影响.
- 为了评估手术后1至3年间的功能改善.
- 为了确定ATR修复后长期结果受损的风险因素.
主要方法:
- 来自两项随机临床试验的181名患者的队列研究,随访时间为3年.
- 患者接受了ATR修复,并随机分配到不同的承重协议或固定.
- 在不动化期间通过多普勒超声波进行DVT查;在1岁和3岁时通过脚跟升高测试和ATRS评估功能结果.
主要成果:
- 42%的患者在ATR手术后出现了DVT.
- 在3年后,DVT与更糟糕的脚跟上升四肢对称指数 (LSI) 和更低的ATRS得分有关.
- 导致不良结果的独立风险因素包括年龄较大,小腿缩和DVT.
结论:
- 静止期间的DVT显著影响了ATR修复后3年的长期功能结果.
- 牛犊肌肉缩,DVT和年龄较大是导致恢复受损的关键风险因素.
- 对这些因素的临床关注对于优化患者的治疗结果至关重要.
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