在儿科半球切除术中,肌肉骨的长期结果
Emily E Harford1, Anisha Mandava1, Ozgur Dede2
1Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, United States.
Epilepsy research
|April 23, 2025
概括
由于而接受半球切除术 (HS) 的儿科患者表现出很少的长期功能性移动性损失. 然而,许多人需要针对性和相关的肌肉骨问题进行干预.
科学领域:
- 儿科神经学 儿科神经学
- 神经外科 神经外科
- 康复医学 康复医学 康复医学
背景情况:
- 儿童的耐药性通常需要半球切除术 (HS) 或半球切除术 (HS).
- 对于患者管理来说,功能性移动性和肌肉骨健康后的长期结果对于患者管理至关重要.
- 了解这些结果可以为康复策略和干预提供信息.
研究的目的:
- 描述半球切除术 (HS) 或半球切除术 (HS) 后儿科患者的长期功能性移动性.
- 记录这些患者随着时间的推移所需的肌肉骨干预措施.
- 评估HS对总运动功能分类系统 (GMFCS) 水平和上肢功能的影响.
主要方法:
- 从1997年到2023年接受HS的儿科患者的回顾性审查,至少进行1年的随访.
- 在多个时间点 (1,2,5,10,15年) 收集了GMFCS水平和上肢功能的术前和术后数据.
- 有记录的肌肉骨干预,包括整形,化疗和骨科手术.
主要成果:
- 35名儿科患者接受了HS,随访数据可用于不同持续时间.
- 所有患者都出现了术后半;上肢损伤跟随着近端到远端的梯度.
- 虽然57%的GMFCS水平没有变化,但40%的GMFCS水平有所改善;整形术的使用率很高 (78-100%),34%接受了化疗,34%接受了整形外科手术.
结论:
- 半球切除术 (HS) 对儿科患者的整体功能移动性长期影响很小.
- 对于,收缩和骨变形的干预仍然是管理肌肉骨并发症所必需的.
- 这强调了需要持续的,专业的康复和骨科护理后HS.
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