在腹壁外科手术中预康复的短期和中期结果:一个回顾性队列研究
Gaëtan-Romain Joliat1, Sonia Krouk2, Eddy Cotte2
1Department of General Surgery and Surgical Oncology, Centre Hospitalier Universitaire Lyon Sud, Pierre-Bénite, France; Department of Visceral Surgery, Lausanne University Hospital (Centre Hospitalier Universitaire Vaudois), University of Lausanne, Lausanne, Switzerland.
概括
在腹壁手术前的预康复并没有减少即时并发症,但降低了中期复发率. 结合预康复和肉毒素注射,在亚组分析中显示并发症减少.
科学领域:
- 腹壁外科手术 腹壁外科手术
- 外科手术的结果
- 预康复战略 预康复策略
背景情况:
- 关于预康复在腹壁外科手术 (AWS) 的有效性存在有限的数据.
- 这项研究调查了AWS患者预康复的短期和中期结果.
研究的目的:
- 为了比较患者接受AWS的术后结果,包括预康复和没有预康复.
- 评估预康复对发病率,并发症和复发率的影响.
主要方法:
- 对接受修复的315名患者的回顾性分析 (2021年10月至2024年10月).
- 与没有预康复 (营养,心理,身体) 的患者进行比较.
- 主要结局:30天的发病率. 二次结果:并发症,复发,停留时间.
主要成果:
- 两组之间整体并发症率或停留时间没有显著差异.
- 在预康复组中观察到较低的中期复发率 (P=.043).
- 在注射肉毒素 (BTI) 亚组中,预康复与更少的并发症 (P=.028) 和降低的发病率 (OR 0.3;P=.027) 有关.
结论:
- 预康复并没有降低整体术后发病率,但在AWS中降低了中期复发.
- 与BTI相结合的预康复可能会带来潜在的益处,减少特定患者亚组的并发症.
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