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手指再植或血管重建术后影响功能恢复因素的多变量分析

Multivariate analysis of factors influencing the functional recovery after finger replantation or revascularization.

作者信息

Chiu H Y, Shieh S J, Hsu H Y

机构信息

Department of Surgery, National Cheng-Kung University Hospital, Tainan, Taiwan, Republic of China.

出版信息

Microsurgery. 1995;16(10):713-7. doi: 10.1002/micr.1920161010.

Abstract

A multivariate statistical analysis was utilized to study the influence of the four preoperative (age, mechanism of injury, level of injury, and type of amputation) and one postoperative (rehabilitation) variables on the functional recovery of the replanted or revascularized finger. Statistically significant differences are summarized as follows. The young age group have a better functional recovery due to better sensory recovery than the old age group. The crush injury group have a better functional recovery, with better scores in motion and patient satisfaction, than the avulsion injury group. The middle phalangeal injury group have a better functional recovery, with better score in motion and sensation than the proximal phalangeal injury group. There is no statistically significant difference in functional recovery between the revascularized and replanted fingers, but there is a significantly better sensory recovery in the revascularized finger. The rehabilitation group has a better functional recovery, with better score in motion, subjective symptoms, and patient satisfaction, than the nonrehabilitation group.

摘要

采用多变量统计分析来研究四个术前变量(年龄、损伤机制、损伤水平和截肢类型)以及一个术后变量(康复)对再植或血管再通手指功能恢复的影响。具有统计学意义的差异总结如下。与老年组相比,年轻年龄组由于感觉恢复更好,功能恢复也更好。挤压伤组比撕脱伤组功能恢复更好,在运动和患者满意度方面得分更高。中节指骨损伤组比近节指骨损伤组功能恢复更好,在运动和感觉方面得分更高。再植手指和血管再通手指在功能恢复方面无统计学显著差异,但血管再通手指的感觉恢复明显更好。康复组比非康复组功能恢复更好,在运动、主观症状和患者满意度方面得分更高。

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