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创伤延伸肌修复:手术室是必要的吗? 一个比较研究研究
Tal Frenkel Rutenberg1, Efrat Daglan2, Sorin Daniel Iordache2
1Rabin Medical Center, Beilinson Hospital, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Petah Tikva, Israel. tal_frenkel@hotmail.com.
概括
对于延伸肌损伤 (ETI) 的急诊室小程序室修复显示了与手术室修复相似的结果. 这种方法可以降低ETI患者的成本和停留时间.
科学领域:
- 整形外科手术 整形外科手术
- 紧急医疗 紧急医疗
- 外科手术的结果
背景情况:
- 延伸肌损伤 (ETI) 是常见的,通常需要手术修复.
- 进行修复的迹象包括涉及肌宽度超过一半的损伤.
- 对比治疗设置对于优化患者护理和资源配置至关重要.
研究的目的:
- 为了比较在急诊室小手术室 (ED MPR) 和传统手术室 (OR) 中进行的延伸肌损伤修复的结果.
- 为了评估患者的人口统计学,损伤特征和两种设置之间的术后并发症.
主要方法:
- 追溯性研究比较了在OR (2018-2023) 和ED MPR (2019-2022) 中连续治疗ETI的患者.
- 分析包括患者人口统计学,损伤机制,损伤区域和90天内的术后并发症.
- 两组治疗组间手术内发现和术后结果的比较.
主要成果:
- 分析了OR中的113名患者 (147根肌) 和ED MPR中的179名患者 (203根肌).
- 人口结构和损伤机制相似;OR患者有更完整的眼.
- 手术后感染率是可比的 (4.4%的OR与1.7%的ED MPR; p=0.268).
- OR治疗与更长的手术延迟,更长的住院时间和增加的阿片类药物处方有关.
结论:
- 在ED MPR中进行延伸肌修复的结果与OR中进行的结果相似.
- ED MPR设置可能会带来诸如医疗费用降低和患者停留时间缩短等好处.
- 在某些延伸肌损伤的修复中,ED MPR是可行的替代方案.
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