经腰椎离断术后的康复

Rehabilitation for Translumbar Amputation(review)

经腰椎离断术又名半体切除,是指经某一腰椎将骨盆、盆腔内容物、双下肢及外生殖器全部切除。手术使患者失去了直立能力,通过医生、护士、假肢技师、物理治疗师、心理治疗师、职业康复和社会康复工作者等多学科合作,对患者进行术后综合康复,可以恢复人体外形,重建直立活动能力、生活自理能力、社会交往及职业劳动能力。本文主要从术后综合康复方面进行综述。

Translumbar amputation,also known as hemicorporectomy,is a life-saving procedure for patients with a life-threatening diagnosis but with a normal life expectancy.In the surgical procedure,the pelvis,pelvic contents,lower extremities and external genitalia are removed following transection of the lumbar spine.The operation makes the patient lose the ability of being upright.With the interdisciplinary cooperation of doctors,nurses,prosthetists,psychologists,vocational rehabilitation workers and social rehabilitation workers,the patient can realize most of independent activities of daily living through rehabilitation.The rehabilitation associated with the procedure is reviewed.