焦虑症患者的手术治疗结果:理性手术策略算法的测试

Q3 Medicine
Алексей Леонидович Кудяшев, Владимир Васильевич Хоминец, Владимир Михайлович Шаповалов, П. А. Метленко, Филипп Владиславович Мироевский, Михаил Владимирович Резванцев, Андрей Васильевич Теремшонок, Константин Евгеньевич Коростелев, Владимир Дмитриевич Беседин, В. В. Скворцов
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引用次数: 0

摘要

目标。目的:比较分析传统入路与新算法治疗髋-脊柱综合征的中长期疗效。材料和方法。该研究纳入175例年龄54.4±12.7岁的III级关节关节病合并脊柱退行性疾病和椎体源性疼痛综合征的患者,这些患者在诊所接受髋关节置换术。确定研究组(n = 94)和对照组(n = 81)。研究组采用已开发的合理手术策略算法,对照组采用标准手术策略选择方法。134例患者平均术后9个月获得手术治疗结果。对55例患者的长期结果进行评估,平均为髋关节置换术后61个月。结果。使用所开发的算法,可以增加具有良好临床和功能结果的患者数量,并获得更好的髋关节性能。对患者对治疗结果满意度变化的分析显示,患者对长期疗效的满意度明显高于中期疗效。骨盆-脊柱关系的分析证实了髋关节置换术对矢状位和前侧躯干平衡的影响。结论。在髋关节-脊柱综合征患者中选择合理手术策略的发展方法可以可靠地改善手术治疗的中期和长期结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
РЕЗУЛЬТАТЫ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ПАЦИЕНТОВ С КОКСОВЕРТЕБРАЛЬНЫМ СИНДРОМОМ: АПРОБАЦИЯ АЛГОРИТМА РАЦИОНАЛЬНОЙ ХИРУРГИЧЕСКОЙ ТАКТИКИ
Objective. To present comparative analysis of mid- and long-term results of surgical treatment in patients with hip-spine syndrome operated on using conventional approaches and the developed algorithm. Material and Methods. The study included 175 patients aged 54.4 ± 12.7 years with grade III coxarthrosis combined with degenerative disease of the spine and vertebrogenic pain syndrome, who were admitted at the clinic for hip replacement. The study (n = 94) and comparison (n = 81) groups were identified. In the study group, the developed algorithm of rational surgical tactics was applied, and in the comparison group, standard approaches to the choice of surgical tactics were used. Results of surgical treatment in 134 patients were achieved, on average, in 9 months after surgery. Long-term results were evaluated in 55 patients, on average, in 61 months after hip replacement. Results. Using the developed algorithm allowed to increase the number of patients with good clinical and functional results, and to achieve better performance of the hip joint. The analysis of changes in patients’ satisfaction with the results of treatment demonstrated significantly higher rating of long-term outcomes as compared to mid-term. Analysis of pelvis-spine relationships confirmed the effect of hip replacement on the sagittal and frontal trunk balance. Conclusion. The developed approaches to the choice of rational surgical tactics in patients with hip-spine syndrome allows reliable improving of mid- and long-term results of surgical treatment.
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来源期刊
Hirurgia Pozvonochnika
Hirurgia Pozvonochnika Medicine-Anesthesiology and Pain Medicine
CiteScore
0.60
自引率
0.00%
发文量
24
审稿时长
7 weeks
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