在骨科创伤手术中进行手术前规划:一种迷失的艺术?
Robert K Wagner1, Stein J Janssen2, Jacob S Borgida3
1Harvard Medical School Orthopaedic Trauma Initiative, Boston, MA, USA; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA; Department of Orthopaedic Surgery and Sports Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands; Amsterdam Movement Sciences, Musculoskeletal Health, Amsterdam, the Netherlands.
Injury
|June 18, 2025
概括
整形外科医生发现手术前的计划对于创伤病例至关重要,但正式的计划仅在50%的病例中发生. 住院人员使用规划比使用护理人员更多,案件复杂性推动了其使用.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 手术规划 手术规划
背景情况:
- 术前规划在骨科创伤中被认为是有价值的,但其应用不一致.
- 临床经验强调了复杂的骨科创伤病例中使用术前计划的变化.
研究的目的:
- 调查目前的实践和应用在骨科创伤术前手术规划.
- 确定影响创伤外科手术术前手术规划决策过程的因素.
主要方法:
- 一个横截面调查分发给了骨科创伤协会和荷兰骨科创伤协会的成员.
- 该调查评估了一般规划实践,计划特征,居民培训使用以及影响因素,比较了出席和居民/学员实践.
主要成果:
- 在211名受访者中,有84%的人认为术前计划非常重要,但只有50%的病例正式进行了术前计划.
- 居民/研究员计划的次数明显高 (76%) 比出席 (30%) 并且使用数字模板的次数更高.
- 病例的复杂性是影响制定手术前计划决定的主要因素.
结论:
- 尽管被认为是重要的,正式的手术前规划在骨科创伤中不一致地应用.
- 与主治外科医生相比,住院医生和研究员对手术前规划的使用率更高.
- 在决定实施手术前规划时,应更一致地考虑改善住院教学,效率和团队合作等因素.
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