数字黑色素瘤的莫斯手术后的重建:技术和术后四肢功能描述
Jason D Wink1, Irfan A Rhemtulla1, William Fix2
1Division of Plastic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, United States.
Journal of hand and microsurgery
|June 10, 2024
概括
与截肢相比,节省数字的莫斯手术和黑色素瘤重建提供了明确的边缘和改善上肢功能的趋势. 这种方法可以保护组织,同时保持功能结果.
科学领域:
- 皮肤病学 皮肤病学
- 手术瘤学手术瘤学
- 整形外科 整形外科 整形外科
背景情况:
- 莫斯手术和重建是皮肤恶性瘤组织保护切除的既定技术.
- 指的黑色素瘤在瘤切除和功能重建方面提出了独特的挑战.
研究的目的:
- 为了评估接受初级黑色素瘤节省指数治疗的患者的重建技术和功能结果.
- 为了比较数字黑色素瘤节省治疗与截肢治疗的功能结果.
主要方法:
- 一个回顾性图表审查确定了接受莫斯手术和数字黑色素瘤重建的患者.
- 生活质量 (QOL) 调查 (Neuro-QOL 上肢和下肢) 评估了手术后的功能.
主要成果:
- 包括32名患者 (13手,19脚),平均随访时间为16.1个月,没有复发.
- 常见的重建包括全厚皮肤移植和飞推进片,技术选择与缺陷大小相关 (p=0.0125).
- 在节省数字治疗与截肢治疗 (p=0.072) 中观察到改善上肢功能的趋势,尽管在下肢 (p=0.61) 中没有发现显著差异.
结论:
- 节省数字的治疗数字的黑色素瘤可以实现明显的外科手术边缘.
- 有一种趋势表明,与直接截肢相比,用节省指数的治疗改善了上肢功能.
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