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在局部片覆盖后患者报告的结果与复杂下肢创伤截肢后的患者报告结果的比较.

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  • 1Indiana University School of Medicine, Indianapolis, Indiana, United States.

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概括

用于下肢救援的皮带片产生了比截肢更好的患者报告结果 (PROs). 肌肉片表现出类似于截肢的PROs,表明皮带片可能提供更好的功能恢复和感知健康.

关键词:
肢体救援救援 肢体救援当地的片.下肢的下肢是最重要的.患者报告的结果.人们的生活质量.

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科学领域:

  • 整形外科手术 整形外科手术
  • 重建性手术是一种重建性手术.
  • 患者报告的研究结果研究结果

背景情况:

  • 有限的患者报告结果 (PRO) 数据存在于下肢救援程序.
  • 肢体救援通常是使用局部肌肉或肌皮片来实现的.
  • 将类型和截肢之间的PRO进行比较对于治疗决策至关重要.

研究的目的:

  • 为了比较患者报告的下肢救援结果 (PROs),使用局部皮带片与肌肉片.
  • 为了比较肢体救援 (肌或肌肉) 和下肢截肢之间的PROs.
  • 评估不同重建手术后的功能恢复和感知健康状况.

主要方法:

  • 在2014年至2020年期间,对61名接受下肢局部片重建 (n=33) 或截肢 (n=28) 的患者进行了回顾性审查.
  • 通过使用下肢功能尺度 (LEFS) 和SF-36.6的电话调查收集了患者报告的结果.
  • 经期操作数据是通过图表审查收集的.

主要成果:

  • 与截肢相比,皮带片导致LEFS和SF-36身体和情绪功能得分明显提高.
  • 肌肉片显示LEFS和SF-36的身体功能得分明显较低,与皮带片相比.
  • 肌肉患者报告的LEFS和SF-36得分与截肢患者相似.

结论:

  • 与截肢相比,用于下肢救援的局部皮带片与患者感知到的优异功能结果有关.
  • 用于肢体救援的肌肉片产生了与截肢相比的患者报告结果,并且低于皮带片.
  • 皮带片可能具有功能优势,这表明在可行的情况下,它们可能是肢体救援的首选选择.