在患有唇裂患者手术前和手术后的患者报告结果:使用CLEFT- Q评估手术后的变化
Nicholas A Han1, Isabel A Ryan1, Philip D Tolley1
1Division of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
手术改善了患者报告的唇裂和/或裂患者的结局 (CL/ P). 术后面部感知得到最显著的改善, 改善了多个面部领域的分数.
科学领域:
- 整形外科
- 头外科手术
- 患者报告的结果
背景情况:
- 唇裂和/或裂 (CL/P) 影响面部的美学和功能.
- 患者报告的结果 (PROs) 对于评估CL/ P患者的手术成功至关重要.
- CLEFT-Q是用于测量CL/P的验证仪器.
研究的目的:
- 评估CL/ P患者手术前后PRO的变化.
- 为了比较经过手术和没有手术的CL/ P患者之间的PRO变化.
- 确定与显著的PRO改善相关的特定手术程序.
主要方法:
- 在美国第三级医院对256名CL/P患者 (2021-2025) 的回顾性图表审查.
- 在手术前和手术后分析CLEFT-Q分数.
- 手术 (n=60) 和非手术队列之间的PRO比较.
主要成果:
- 手术患者的初始CLEFT- Q得分低于非手术患者 (P < .05).
- 鼻整形 (n=15) 显著改善了手术后的脸部,鼻子,鼻孔,牙和嘴唇的分数 (P < .01).
- 整骨外科手术对改善得分的趋势不显著 (P=0. 10).
结论:
- 与非手术患者相比,在CL/ P患者的手术干预导致了术后CLEFT- Q得分的改善.
- 鼻整形与患者面部感知最显著的改善有关.
- 进一步的研究可能会探讨长期的PRO以及其他CL/P手术的影响.
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