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小手术后术后临床随访的产量:面对面的接触是必要的吗?
Tal Frenkel Rutenberg1, Amir Shmuel Kohav1, Tom Kosnekov1
1Department of Orthopedics, Rabin Medical Center (Beilinson Campus), Petah Tikva, Israel; Grey Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
The Journal of hand surgery
|March 11, 2026
概括
选择性软组织手术的例行术后随访效率低,只有3%的访问导致干预. 大多数并发症通过替代护理途径得到管理,这表明需要按需的后续模型.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 整形外科 整形外科 整形外科
背景情况:
- 手术后的临床随访是伤口监测和结果评估的标准.
- 医疗保健系统面临资源限制,需要优化后续策略.
- 评估选择性软组织手术的常规后续检查的必要性至关重要.
研究的目的:
- 评估对选择性,非传染性软组织上肢手术的例行术后随访的临床效用.
- 为了确定在常规后续访问期间的干预率.
- 为了比较常规随访结果与并发症的替代护理途径.
主要方法:
- 对394名接受选择性软组织手术的成年患者进行了回顾性审查 (例如,手掌道释放,群体切除).
- 分析在例行术后访问和意外遭遇期间进行干预的医疗记录.
- 收集了关于患者人口统计,随访时间和进行的干预措施的数据.
主要成果:
- 只有3%的例行随访 (12/394) 导致临床上有意义的干预措施.
- 大多数并发症 (77.3%) 在预定访问之前通过紧急或初级护理识别和管理.
- 很大一部分患者 (25.1%) 拒绝了随访,大多数患者不需要进一步的护理.
结论:
- 选择性,干净的软组织手术的常规术后随访提供了有限的医疗收益.
- 大多数并发症通过替代护理途径有效管理.
- 未来的研究应该探索自愿的,按需的术后随访模型,以提高患者的安全和满意度.
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