甲状腺手术后痕美化和生活质量的评估:一项回顾性研究
Surjeet Dwivedi1, Sanjay Kumar1, Vishal Saxena2
1Command Hospital Air Force Bangalore, Bengaluru, Karnataka India.
概括
甲状腺切除术患者对痕的满意度很高,尤其是年轻女性. 改善的生活质量 (QoL) 与更好的痕外观相关,强调需要解决外科手术后的美学和功能结果.
科学领域:
- 手术成果研究的研究结果.
- 患者报告的结果衡量结果.
- 评估整形外科手术的评估.
背景情况:
- 甲状腺手术对于良性和恶性疾病是常见的.
- 可见的部痕显著影响患者的自尊和生活质量 (QoL).
- 综合性痕综合性评估以及功能性结果至关重要,但在研究中通常是有限的.
研究的目的:
- 为了评估甲状腺切除术患者的痕宇宙和QoL.
- 为了将主观和客观的痕评估与QoL措施相关联.
- 为了确定患者对痕结果的满意度的预测因素.
主要方法:
- 100名甲状腺切除术患者的回顾性研究 (2021年1月至2023年12月).
- 通过视觉模拟尺度 (VAS) 评估主观痕满意度.
- 客观痕评估使用温哥华痕量表 (VSS) 和患者和观察者痕评估量表 (POSAS).
- 使用甲状腺特异性 (ThyPRO) 和一般性 (SF-36) 仪器评估的 QoL.
- 统计分析包括t测试,皮尔森相关性和多变量回归.
主要成果:
- 85%的患者表示满意 (VAS平均得分为7.8).
- 平均VSS和POSAS分数分别为5.2和6.8. 这些分数分别为5.2和6.8.
- 年轻患者 (≤50岁) 和女性的满意度更高.
- 在身体功能 (从65.3到76.8) 和情绪健康 (从61.2到70.1) 中显著改善了QOL.
- 痕宇宙与QoL领域有显著的相关性 (例如,身体功能,r=0.42).
- 12%的人报告感官变化,如麻木.
结论:
- 将主观/客观痕测量与QoL工具 (ThyPRO,SF-36) 的整合提供了全面的结果评估.
- 年龄较小,女性性别和痕质量优越预测患者满意度更高.
- 在甲状腺切除术后,解决美学和功能结果对于提高患者满意度和QOL至关重要.
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