在中间半月修复中,外部内和全内技术之间没有临床差异:强调基于最小临床重要差异 (MCID) 的结果
Aytek Hüseyin Çeliksöz1, Ceyhun Çağlar2, Serhat Akçaalan3
1Koç University Orthopedics and Traumatology, Istanbul, Turkey. aytekhuseyin@gmail.com.
BMC musculoskeletal disorders
|October 15, 2025
概括
外在 (OI) 和全内在 (AI) 阴茎修复技术在第3区和第4区撕裂方面表现出相似的功能结果,实现了临床上重要的差异. OI技术使用的痕较少,但并发症率略高.
科学领域:
- 整形外科手术 整形外科手术
- 膝盖阴茎修复修复 膝盖阴茎修复
- 生物医学工程 生物医学工程
背景情况:
- 全内部 (AI) 阴茎修复是首选的,因为它的效率,而外在 (OI) 是不太常见的.
- 人工智能和OI技术之间的功能结果存在有限的直接比较.
- 这项研究侧重于区域-3和区域-4的中间半月撕裂,使用最小临床重要差异 (MCID) 作为基准.
研究的目的:
- 为了比较OI与AI的临床疗效,针对3区和4区中部阴囊撕裂的阴囊修复技术.
- 根据MCID值来评估结果.
- 测试OI和AI技术之间结果没有显著差异的假设.
主要方法:
- 对93名患有隔离区域-3或区域-4中介阴囊撕裂的患者进行了回顾性队列研究 (2020-2023年).
- 患者分为OI (n=63) 和AI (n=30) 组.
- 临床结果通过IKDC,KOOS和TLKS评分在至少6个月的随访后进行评估;使用0.5SD方法计算MCID;使用ANCOVA进行年龄调整.
主要成果:
- 无论是OI和AI技术,都显著提高了IKDC,KOOS和TLKS分数,超过了MCID值 (p < 0.001).
- 在OI和AI组之间没有发现功能结果的显著差异 (p > 0.05).
- OI组使用的 sutures较少 (p < 0.001),但显示出更高并发症率的趋势 (11%对0%,p = 0.092),包括神经麻和败血性关节炎.
结论:
- 无论是OI和AI技术,对于3区和4区的中间半月撕裂,都提供了可比的临床改善,满足了MCID基准.
- OI技术需要更少的,而AI在这个系列中没有报告的并发症.
- 研究结果支持这两种技术的临床疗效相似,有助于基于患者因素和外科医生专业知识的手术决策.
相关概念视频
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