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经过修订后成功结果的预测者 带道释放
Akhil Dondapati1, Thomas J Carroll1, Warren C Hammert2
1Department of Orthopaedic Surgery, University of Rochester Medical Center, Rochester, NY.
The Journal of hand surgery
|February 19, 2025
概括
成功修复手管释放 (CTR) 的预测因素包括类固醇注射和没有糖尿病. 修订CTR患者在1年的随访中,患者可接受的症状状态 (PASS) 比初级CTR患者的得分更低.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 患者研究成果研究结果
背景情况:
- 带道释放 (CTR) 是一种常见的手术程序.
- 对于持续或反复出现的症状,可能需要修订CTR.
- 与初级CTR相比,修订CTR的长期结果需要进一步调查.
研究的目的:
- 为了确定成功修订手管释放 (CTR) 的预测因素.
- 为了比较长期患者报告的修订CTR与初级CTR的结果.
- 假设修订CTR患者的结果会比初级CTR患者更糟糕.
主要方法:
- 521名初级CTR和57名修订CTR患者的回顾性比较,随访至少1年.
- 使用患者报告结果测量信息系统 (PROMIS) 和患者可接受的症状状态 (PASS) 评分.
- 对比了人口统计学,手术数据,以及手术前和后的PROMIS/PASS分数.
主要成果:
- 修订CTR患者的BMI较高,更有可能是男性,患有糖尿病或并发性阴茎道综合征.
- 类固醇注射预测了积极的PASS反应;疼痛,吸烟和糖尿病预测了负面的PASS.
- 一年后的PROMIS分数 (UE,PF,PI) 和PASS反应在各组之间是相似的,尽管修订组在手术前和术后都有较低的PASS.
结论:
- 满意的修订CTR结果的预测因素包括类固醇注射,没有糖尿病/烟草使用,以及对疼痛的麻醉/虚弱的症状.
- 修订CTR患者在1年的随访中,与初级CTR患者相比,呈现较低的阳性PASS反应率.
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