标题: 在TDAP自由手术中手术时间的比较:右与左捐赠者部位
Yooseok Ha1, Sukyoung Jung2, Jeong Tae Kim3
1Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine, Daejeon, Korea (the Republic of).
Journal of reconstructive microsurgery
|February 13, 2026
概括
捐赠者部位的横向性会影响胸脊动脉穿孔器 (TDAP) 自由手术中的手术时间. 对于右手外科医生来说,右侧的片更快,这表明人体工程学因素影响了效率.
科学领域:
- 整形外科 整形外科 整形外科
- 微手术 微手术是一种微手术.
- 外科手术的结果
背景情况:
- 自由 reconstruction 是一个标准的手术程序.
- 捐赠部位横向性对自由手术中的手术效率的影响仍未得到充分研究.
- 外科医生的人体工程学因素可能会影响手术时间.
研究的目的:
- 为了评估片侧向 (右与左) 对胸脊动脉穿孔器 (TDAP) 免费片手术中的手术时间的影响.
- 为了研究对右撇子外科医生的板横向性对人体工程学的影响.
- 确定影响TDAP自由重建操作效率的因素.
主要方法:
- 在单一机构对TDAP自由重建的回顾性审查.
- 左侧和右侧板之间的操作时间的比较.
- 多变量回归分析以确定横向性对手术持续时间的独立影响,并根据临床变量和板特征进行调整.
主要成果:
- 与右侧板相比,左侧的TDAP板与明显更长的操作时间 (p < 0.01) 相关.
- 左侧的病例表现出更大的片尺寸和增加了皮肤移植的利用,以关闭捐赠者部位.
- 多变量分析证实左侧横向性是增加手术时间的独立预测因素,这表明右手外科医生的人体工程学影响.
结论:
- 捐赠者部位的横向性在TDAP自由重建中显著影响了手术时间,主要是由于右手外科医生面临的人体工程学挑战.
- 在手术前的规划中,应考虑片的横向性,在临床上适当时偏好右侧片.
- 在外科培训和技术中实施人体工程学策略可以提高效率并改善自由手术的结果.
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