Comparison of Quality of Life After Amputation or Limb Salvage
Comparison of Quality of Life After Amputation or Limb Salvage
复制标题
截肢或保肢后生活质量的比较
DOI：
--
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发表时间：
2002
影响因子：
4.2
通讯作者：
H. Mankin
中科院分区：
文献类型：
--
作者：
Y. Refaat;J. Gunnoe;F. Hornicek;H. Mankin
过去，截肢是治疗四肢肉瘤患者的标准方法，但现在肢体保留手术更为常见。一份自动调整性别、年龄、诊断、部位和治疗的计算机化问卷被发送给2200名在过去25年中接受过治疗的高级别肉瘤患者。利用这些数据，可以研究和比较66例截肢患者和342例下肢肿瘤保留肢体手术患者的反应。更多的男性截肢，但两组的年龄没有差异。两组的结果相似。保留肢体手术的患者在行走、爬楼梯、开车或就业能力方面没有显著改善。截肢患者中需要助行器和参加体育活动的比例几乎与保留肢体手术的患者相同。与保留肢体的患者相比，截肢患者没有更多的焦虑、药物依赖、抑郁、睡眠问题或性行为限制。截肢患者的子女较多，月经问题较少；然而，他们对自己早年的地位远不如晚年的满意。
In the past, amputation was the standard method of treatment for patients with sarcomas in the extremity but limb-sparing procedures now are much more frequent. A computerized questionnaire automatically adjusted for gender, age, diagnosis, site, and treatment was sent to 2200 patients with high-grade sarcomas who had been treated during the past 25 years. Using the data, it was possible to study and compare the response from 66 patients who had an amputation and 342 patients with a limb-sparing procedure for a lower extremity neoplasm. More males had an amputation, but no differences were observed in the ages of the two groups. The outcomes for the two groups were similar. Patients who had limb-sparing procedures did not have a significant improvement in the ability to ambulate, climb stairs, drive a car, or be employed. More of the patients with amputations required walking aids and participated in sports activities at almost the same rate as the patients who had limb-sparing procedures. Patients who had amputations had no more anxiety, drug-dependence, depression, sleep problems, or limitation of sexual performance than patients who retained their limbs. The patients with amputations had more children and fewer menstrual problems; however, they were far less satisfied with their status at early ages than at later periods in their lives.
DOI：
10.2106/00004623-199072060-00005
发表时间：
1990-07-01
影响因子：
5.3
作者：
BERREY, BH;LORD, CF;MANKIN, HJ
通讯作者：
MANKIN, HJ
影响因子：
158.5
作者：
GOORIN, AM;ABELSON, HT;FREI, E
通讯作者：
FREI, E