Osborn Neurorehabilitation Unit, Northern General Hospital, Sheffield, United Kingdom.
Arch Phys Med Rehabil. 2012 Mar;93(3):509-11. doi: 10.1016/j.apmr.2011.09.018. Epub 2012 Jan 11.
To ascertain the long-term outcome for individuals found to have fluid collections in residual limbs after amputation.
Prospective cohort study.
Outpatient follow-up at a prosthetic rehabilitation unit.
Successive lower limb amputations (N=105) scanned for fluid collections after operation and followed up after 3 years.
Not applicable.
Survival; secondary outcomes of prosthetic limb use, hours of prosthetic limb-wearing, anxiety and depression levels.
After 3 years, 70 individuals were alive, of whom 21 (30%) had fluid collections originally. There was no significant difference at follow-up between the group that had fluid collections in their residual limbs after surgery and the group that did not in terms of survival (χ(2)(1)=.21, P=.64), numbers wearing prosthetic limb (χ(2)(1)=.102, P=.75), hours of limb wearing (t(37)=.35, P=.72), anxiety (χ(2)(1)=.77, P=.78), and depression (χ(2)(1)=1.98, P=.16). A multivariable logistic regression confirmed that presence of fluid collection was not associated with survival.
Fluid collections in residual limbs after amputation are common, but patients can be reassured that their long-term outcomes are not affected.
确定截肢后残肢中发现积液的个体的长期结果。
前瞻性队列研究。
假肢康复单位的门诊随访。
连续下肢截肢（N=105）在手术后扫描积液，并在 3 年后进行随访。
不适用。
存活；次要结果为假肢使用、假肢佩戴小时数、焦虑和抑郁水平。
3 年后，70 名患者存活，其中 21 名（30%）最初有积液。在术后残肢有积液的组和没有积液的组之间，在存活方面没有显著差异（χ(2)(1)=.21，P=.64）、佩戴假肢的人数（χ(2)(1)=.102，P=.75）、佩戴假肢的小时数（t(37)=.35，P=.72）、焦虑（χ(2)(1)=.77，P=.78）和抑郁（χ(2)(1)=1.98，P=.16）。多变量逻辑回归证实，积液的存在与存活无关。
截肢后残肢中出现积液很常见，但可以让患者放心，他们的长期结果不受影响。
