患者对最小侵入性心脏切口的满意度:一个回顾性单中心调查
Oliver M Scarborough1, Sparsh Shah2, Alexander J Scarborough3
1Trauma and Orthopaedics, Manchester NHS Foundation Trust, Manchester, GBR.
Cureus
|September 25, 2025
概括
最少侵入性心脏手术 (MICS) 导致较好的痕满意度和较短的恢复,相比中枢椎切除术 (MS). 接受MICS治疗的患者报告了更高的满意度和较少的痕放置问题.
科学领域:
- 心血管外科心血管外科
- 患者报告的结果
背景情况:
- 最少侵入性心脏手术 (MICS) 潜在地比中枢椎骨切除术 (MS) 有优势,包括减少出血,疼痛和伤口并发症.
- 改善痕美容是MICS的一个潜在好处,这可能会提高患者的满意度.
- 与MS相比,在MICS之后与痕相关的满意度存在有限的研究.
研究的目的:
- 为了比较微创心脏手术 (MICS) 和中枢骨切除 (MS) 之间的痕相关患者满意度.
- 评估术后康复指标和患者对痕外观的满意度的差异.
主要方法:
- 一项调查评估了MICS和MS患者手术后至少9个月的痕满意度 (视觉模拟尺度) 和痕位置的耐受性.
- 从数据库中提取了患者数据,包括停留时间和止痛药的使用时间.
- 该调查包括关于疼痛管理和恢复日常活动的开放式问题.
主要成果:
- MICS患者经历了术后停留时间缩短 (p=0.033) 和减少止痛药使用时间 (p=0.049).
- 显著更高的痕满意度 (p=0.032) 和不太担心痕位置 (p<0.001) 被MICS患者报告.
- 62.5%的宫切除患者表示他们更喜欢MICS.
结论:
- 最少侵入性心脏手术 (MICS) 在痕和患者满意度方面表现出优异的结果,与中位数胸腔切除术 (MS) 相比.
- MICS提供的好处包括改善住院时间,减少对止痛药的依赖,以及提高患者对手术痕的满意度.
- 在MICS后改善痕外观可能会对患者的身体形象和自信产生积极影响.
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