腹膜整形术后对膝关节和部功能的影响:生物力学和症状分析
Damiano Tambasco1, Roberta Albanese2, Federica Tomaselli1
1Plastic Surgery Unit, San Carlo of Nancy Hospital, GVM Care and Research Group, Rome, Italy.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|September 5, 2025
概括
周围腹整形术显著改善了部和膝盖的运动范围和体力功能. 这种手术不仅能改善美感,还能解决多余皮肤造成的功能障碍.
科学领域:
- 整形外科
- 减肥手术的结果
- 生物力学和物理功能
背景情况:
- 腹部外科手术后的大量减肥通常会导致腹部皮肤多余.
- 过多的皮肤会对人体姿势,步态和关节生物力学产生负面影响.
- 尽管体重显著降低,功能缺陷可能仍存在.
研究的目的:
- 在体重稳定后的腹膜整形术中研究360度腹膜整形术的功能效果.
- 评估部和膝盖运动范围 (ROM) 的变化以及患者报告的结果.
- 确定改进是否与移动性增长或其他因素相关.
主要方法:
- 在18名腹后患者 (平均BMI为29. 3kg/ m2) 的前性研究中,体重稳定性≥12个月.
- 360°腹整形术,切除4公斤以上的组织.
- 在手术前和手术后1,12个月测量部/膝关节ROM;通过BODY-Q物理症状 (PS) 和物理功能 (PF) 域进行评估.
主要成果:
- 在12个月后,部曲 (110°至120°) 和膝盖曲 (130°至140°) 显著改善 (p < 0. 05).
- BODY- Q PS 评分 (58 至 80) 和 PF 评分 (60 至 79) 的显著增加 (p < 0. 05).
- 没有发现ROM和BODY-Q得分之间的显著相关性.
结论:
- 周围腹整形术对腹腔术后的患者具有显著的功能益处.
- 身体功能和症状的改善似乎由单独的移动性之外的因素,包括机械释放和姿势变化.
- 腹整形可以提高功能恢复和生活质量, 扩大其作用超出纯粹的美学考虑.
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