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在下肢重建过程中,自由肌与肌肉:对功能和生活质量的影响
Emile B List1, Brett A Hahn1, Shan S Qiu2
1Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Journal of reconstructive microsurgery
|November 25, 2024
概括
对于下肢缺陷的自由组织移植,无论片类型如何,都会产生类似的患者结果. 疼痛,肥胖和糖尿病等因素显著影响康复和生活质量.
科学领域:
- 微手术 微手术是一种微手术.
- 重建性手术是一种重建性手术.
- 患者报告的结果
背景情况:
- 自由组织移植对于复杂的下肢缺陷至关重要.
- 通过比较肌和肌肉片,可以更好地了解患者的治疗结果.
- 确定功能和生活质量下降的危险因素是必不可少的.
研究的目的:
- 为了比较患者报告的自由皮和肌肉板之间的结果,用于下肢重建.
- 确定影响功能结果和与健康相关的生活质量的患者级风险因素.
主要方法:
- 对接受微手术下肢重建的患者进行了回顾性,横截面,多中心的研究.
- 通过医疗记录,疼痛评分,SF-36和LEFS收集的数据.
- 倒向渐进回归分析以确定功能和生活质量得分的预测因素.
主要成果:
- 皮和肌肉板之间在整体功能 (LEFS) 或生活质量 (SF-36 PCS,MCS) 评分上没有显著差异.
- 疼痛显著预测功能下降和心理健康状况较差 (特别是在皮带片).
- 肥胖,糖尿病,心理健康不佳和短期随访 (<2年) 与较低的患者报告结果有关.
结论:
- 皮带和肌肉片在手术后提供了可比的功能和生活质量结果.
- 片选择应优先考虑缺陷特征和外科医生的专业知识.
- 整体的患者管理,解决并发症,疼痛和心理健康对于最佳的结果至关重要.
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