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Method of Studying Palatal Fusion using Static Organ Culture
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四个单边裂唇和 palatal 的协议的手术和财务负担的差异
V L van Roey1, A Rezaee1, S C M Heemskerk2
1Department of Plastic and Reconstructive Surgery, Erasmus University Medical Centre Rotterdam, Rotterdam, the Netherlands.
International journal of oral and maxillofacial surgery
|March 16, 2025
概括
这项研究比较了四个单边口唇裂 (UCLP) 手术方案. 晚期的延迟硬 palatus 关闭协议 (L-DHPCP) 和一个阶段的 palatoplasty 协议 (OSPP) 显示了较低的手术负担和成本.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科手术 儿科手术
- 口腔和牙面部外科手术
背景情况:
- 单边口唇裂 (UCLP) 治疗需要多次手术.
- 评估手术负担和医疗保健成本对于优化治疗方案至关重要.
研究的目的:
- 评估四种UCLP外科手术方案的手术负担和直接医疗费用.
- 为在UCLP管理中提供指导最佳协议选择的数据.
主要方法:
- 对331名UCLP患者进行了回顾性队列研究,这些患者在1990-2024年期间接受了治疗.
- 将其分为四个协议:奥斯陆协议 (OP),单阶段口腔整形协议 (OSPP),早期延迟硬口腔关闭协议 (E-DHPCP) 和晚期延迟硬口腔关闭协议 (L-DHPCP).
- 对手术持续时间 (OD),住院时间 (LOS) 和相关成本的分析.
主要成果:
- L-DHPCP (408分钟) 和OSPP (425分钟) 的平均累积OD时间最短.
- E-DHPCP (4.84个晚上) 的平均累积LOS最长.
- 平均总成本对L-DHPCP (17,858欧元) 和OSPP (18,545欧元) 最低.
结论:
- L-DHPCP和OSPP协议带来了较低的外科手术负担和直接的医疗保健成本.
- 负担和成本的差异很小,这表明临床结果应该指导协议选择.
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