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一个新的一站式多学科诊所,治疗慢性术后 inguinal 疼痛:最初的经验和结果

Federica Cocciolo¹, Alice Birch¹, Maciej Pawlak²

¹Academic Department of Abdominal Wall and Upper Gastrointestinal Surgery, North Devon District Hospital, Royal Devon University Healthcare NHS Foundation Trust, Barnstaple, United Kingdom.

Journal of abdominal wall surgery : JAWS

|July 1, 2025

概括

一个新的一站式多学科诊所显著减少了慢性术后 inguinal 疼痛 (CPIP),并改善了患者的功能和满意度. 这种方法为有效管理复杂的CPIP案件提供了有价值的模型.

科学领域:

疼痛管理疼痛管理
外科手术的结果
多学科护理多学科护理

背景情况:

慢性术后 inguinal 疼痛 (CPIP) 影响10-20%的患者在 inguinal 修复后,持续超过三个月.
CPIP涉及复杂的神经病和感觉疼痛,二次敏感化和功能/心理影响,通常与其他疼痛状况并存.
分断的诊断和治疗途径阻碍了有效的管理,尽管建议采用多学科方法.

研究的目的:

评估新型的一站式多学科诊所对CPIP的疗效.
评估患者报告结果指标 (PROM) 和患者满意度的改善情况.

主要方法:

建立了一个一站式多学科诊所,整合了外科医生,高级临床从业人员,疼痛顾问和理疗师.
患者接受了45分钟的全面评估,随后进行了多学科团队 (MDT) 讨论和个性化计划.
从2021年7月到2022年7月的回顾性数据收集包括人口统计,手术史,诊断,治疗和PROM.

主要成果:

40名患者接受了MDT评估,55%的患者继续接受进一步治疗.
在具有随访数据的19名患者中,治疗包括手术 (26%),侵入性非手术 (35%) 和药物/物理治疗 (39%).
观察到显著的改善:疼痛评分 (VAS) 从7.2降至2.8,功能活动 (mAAS) 从20.3提高到9.7 (p < 0.0001). 患者的满意度很高 (4.5/5).

结论:

一站式多学科诊所模型显著提高了CPIP的疼痛减轻,功能改善和患者满意度.
这种综合方法在管理复杂的CPIP案件中具有价值.
需要通过更大规模的研究和延长后续进行进一步验证.

关键词:

慢性手术后 inguinal 疼痛 (CPIP) 是一种慢性手术后 inguinal 疼痛.手术并发症手术并发症这是一个多学科诊所.疼痛管理疼痛管理患者报告的结果 (PROMS)

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