治疗儿童和成人指动的外科手术技术:系统性审查
1Portsmouth Hospitals University NHS Trust, Cosham, Portsmouth, PO6 3LY, United Kingdom.
Journal of hand and microsurgery
|December 13, 2024
概括
对上肢的手术,特别是指的手术,显示出有前途. 大多数研究报告说,大指功能得到改善,但证据质量限制了关于安全性和有效性的最终结论.
科学领域:
- 整形外科手术 整形外科手术
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 上肢是越来越令人担忧的临床问题.
- 有效的管理策略正在推进,但指的治疗仍然具有挑战性.
研究的目的:
- 系统地审查当前用于治疗指的手术技术.
- 根据现有的文献来评估干预措施的有效性和安全性.
主要方法:
- 对2005年至2023年间发表的研究在三个数据库中进行了系统的文献搜索.
- 确定了14篇相关文章,并对其方法质量进行了评估.
- 提取了有关手术程序和结果的数据,并注意到异质性.
主要成果:
- 常见的外科手术技术包括 flexor pollicis longus延长,内在肌肉释放和对手增强.
- 13项研究 (92.9%) 报告了指动,位置或功能方面的改善.
- 并发症不常见,但在多达30%的病例中观察到形的复发.
结论:
- 目前的证据表明,手术干预可以改善指的性,位置和功能.
- 现有研究的方法质量通常低至中等,限制了最终的结论.
- 标准化结果报告,专注于功能目标,建议用于未来的研究.
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