对象:比较内化和非内化状皮肤片用于状数字缺陷:来自患者报告结果的见解
Ren-Wen Huang1, Mu-Chieh Chi1, Yun-Huan Hsieh1
1From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College and Chang Gung University.
Plastic and reconstructive surgery
|October 25, 2024
概括
缩的脚肉 (TP) 和非缩的中足 (MP) 板对于数字重建是有效的,表现出类似的功能和感官结果. 以患者为中心的护理指导在飞行软组织缺陷的这些片类型之间的选择.
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.
- 手术手术手术手术手术
背景情况:
- 手指的发声软组织缺陷需要重建以恢复功能和感觉.
- 缩的脚肉 (TP) 和非缩的中间脚 (MP) 板是治疗这些缺陷的外科选择.
- 对比TP和MP的客观和主观结果对于优化重建策略至关重要.
研究的目的:
- 为了比较内化脚肉 (TP) 片与非内化中足 (MP) 片的功能和感觉结果,用于数字软组织缺陷重建.
- 评估患者报告的结果和与每个类型相关的主观投诉.
- 为选择最适合飞行数字重建的提供基于证据的指导.
主要方法:
- 在1998年至2017年期间,对101个免费的无毛皮肤重建 (75 TP,26 MP) 进行了回顾性研究,用于1998年至2017年间的飞数字软组织损伤.
- 使用了经过验证的问卷:密歇根州手部结果问卷,手臂,肩膀和手部残疾问卷以及脚残疾指数.
- 进行感官测试,包括两点歧视和塞姆斯-温斯坦单丝测试,使用曼-惠特尼U测试和皮尔森相关性分析数据.
主要成果:
- 在29名参与者中,TP和MP板之间没有观察到功能或感觉结果的显著差异 (平均随访时间:106个月).
- 这两种片类型都表现出令人满意的功能和灵敏度,患者报告的结果相似.
- 轻微的主观投诉,如冷不耐受和捐赠者部位的不适,在TP组中被注意到.
结论:
- 缩的脚肉 (TP) 和非缩的中足 (MP) 板是飞行数字缺陷重建的可行选择,提供可比的覆盖和感觉结果.
- 选择TP与MP板应根据患者的需要和特定缺陷特征进行个性化选择.
- 需要进一步研究这些片类型的长期疗效,特别是针对广泛的缺陷.
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