上肢恶性骨肿瘤关节置换术后患者的康复和生活质量

Q4 Medicine
D. O. Elkhov, A. V. Bukharov, D. A. Erin, V. Derzhavin, E. V. Filonenko, M. D. Aliev, A. Kaprin
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引用次数: 0

摘要

关节成形术是治疗上肢骨肿瘤最广泛使用的外科技术。然而,需要注意的是,上肢恶性骨肿瘤假体内重建术后的功能效果并不总是令患者满意,往往会导致患者工作能力受损和残疾。改善功能效果的需求决定了研究的实际意义和社会经济意义。本研究的目的是评估综合康复措施对上肢恶性骨肿瘤假体内重建手术后患者生活质量的影响。材料与方法。对146名患者的治疗和康复结果进行了分析。其中男性 88 人(60%),女性 58 人(40%),平均年龄 47 岁(19-75 岁)。98名患者(67%)的肿瘤位于肱骨近端,18名患者(12%)的肿瘤位于骨骺,16名患者(11%)的肿瘤位于构成肘关节的骨骼,14名患者(9.6%)的肿瘤位于桡骨远端。结果我们的康复技术改善了所有肿瘤位置的假体内固定重建后的功能效果。肩关节假体植入术的肌肉骨骼肿瘤协会(MSTS)评分提高了10%(75%对65%),腕关节假体植入术的评分提高了8%(80%对72%)。采用康复技术后,肱骨干骺端和肘关节骨骼的 MSTS 评分明显提高(分别从 76% 提高到 95%,从 68% 提高到 82%)。结论康复措施在上肢骨瘤关节成形术手术治疗后优化患者生活质量方面发挥着重要作用,有助于改善功能预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rehabilitation and quality of life of patients after arthroplasty for malignant bone tumors of the upper limb
Arthroplasty is the most widely used surgical technique for bone tumors of the upper limbs. However, it should be noted that the functional outcomes after endoprosthetic reconstruction for malignant bone tumors of the upper limb does not always satisfy patients and often lead to impaired working capacity of patients, and their disability. The need to improve functional outcomes determines the practical and socio-economic significance of the research. The purpose of the study was to evaluate the impact of a complex of rehabilitation measures on the quality of life of patients after surgery with endoprosthetic reconstruction for malignant bone tumors of the upper limb. Material and Methods. The treatment and rehabilitation outcomes in 146 patients were analyzed. There were 88 (60 %) men and 58 (40 %) women with an average age of 47 years (range, 19–75 years). The tumor was localized in the proximal humerus in 98 (67 %) patients, in the diaphysis in 18 (12 %), in bones that make up the elbow joint in 16 (11 %) and in the distal radius in 14 (9.6 %) patients. Results. Our rehabilitation technique improved functional outcomes after endoprosthetic reconstruction for all tumor localizations. The musculoskeletal Tumor Society (MSTS) score was improved by 10 % (75 vs 65 %) for arthroplasty of the shoulder joint, for the wrist joint by 8 (80 vs 72 %). The rehabilitation technique allowed significant improvement of MSTS score for arthroplasty of the humeral diaphysis and bones making up the elbow joint (from 76 to 95 % and from 68 to 82 %, respectively). Conclusion. Rehabilitation measures play an important role in optimizing quality of life of patients after surgical treatment of bone tumors of the upper limb with arthroplasty, helping to improve functional outcomes.
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来源期刊
Siberian journal of oncology
Siberian journal of oncology Medicine-Oncology
CiteScore
0.40
自引率
0.00%
发文量
117
审稿时长
8 weeks
期刊介绍: The main objectives of the journal are: -to promote the establishment of Russia’s leading worldwide positions in the field of experimental and clinical oncology- to create the international discussion platform intended to cover all aspects of basic and clinical cancer research, including carcinogenesis, molecular biology, epidemiology, cancer prevention, diagnosis and multimodality treatment (surgery, chemotherapy, radiation therapy, hormone therapy), anesthetic management, medical and social rehabilitation, palliative care as well as the improvement of life quality of cancer patients- to encourage promising young scientists to be actively involved in cancer research programs- to provide a platform for researches and doctors all over the world to promote, share, and discuss various new issues and developments in cancer related problems. (to create a communication platform for the expansion of cooperation between Russian and foreign professional associations).- to provide the information about the latest worldwide achievements in different fields of oncology The most important tasks of the journal are: -to encourage scientists to publish their research results- to offer a forum for active discussion on topics of major interest - to invite the most prominent Russian and foreign authors to share their latest research findings with cancer research community- to promote the exchange of research information, clinical experience, current trends and the recent developments in the field of oncology as well as to review interesting cases encountered by colleagues all over the world- to expand the editorial board and reviewers with the involvement of well-known Russian and foreign experts- to provide open access to full text articles- to include the journal into the international database- to increase the journal’s impact factor- to promote the journal to the International and Russian markets
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