Chetverikov S H, Ier'omin Iu V, Osadchiĭ D M, Vododiuk V Iu
Klin Khir. 2012 Mar(3):21-4.
The results of treatment of 122 patients, in whom alloplasty was performed for anterior abdominal wall hernia (AAWH), were analyzed. In 76 patients the connective tissue dysplasia (CTD) was diagnosed, in 32 of them postoperative medicinal correction of CTD was done and in 44--a standard therapy. Analysis of the quality of life indices, using SF-36 questionnaire, have witnessed, that a CTD syndrome degrades trustworthy a patient's subjective perception of quality of life before the operation and in far remote postoperative period as well. There was established, that the complex therapy of CTD prescription have promoted the patients quality of life improvement up to the level, of average value in the investigation, but lower, than in a control group. Medicinal correction of CTD and complex rehabilitation of patients, suffering postoperative AAWH, which have occurred on a CTD background, need further improvement for rising of their treatment efficacy.
对122例行前腹壁疝(AAWH)同种异体成形术的患者的治疗结果进行了分析。76例患者被诊断为结缔组织发育异常(CTD),其中32例术后进行了CTD的药物纠正,44例采用标准治疗。使用SF-36问卷对生活质量指标进行分析发现,CTD综合征在术前和术后很长一段时间内都会降低患者对生活质量的主观认知。研究确定,CTD的综合治疗方案可将患者的生活质量提高到研究中的平均水平,但低于对照组。对于发生在CTD背景下的术后AAWH患者,CTD的药物纠正和综合康复需要进一步改进,以提高其治疗效果。