在创伤后的脊柱固定后,急性结肠伪阻塞
James Carroll1, Laura Bennett2, Cheng Feng2
1Trauma Unit, Royal Melbourne Hospital, Parkville, Australia; University of Queensland School of Medicine, Brisbane, Australia.
World neurosurgery
|June 16, 2023
概括
急性结肠伪阻塞 (ACPO) 发生在接受脊髓融合的重大创伤患者的7.5%中. 虽然经常发生,但该群体中的ACPO通常需要简单的干预,强调需要保持警.
科学领域:
- 创伤外科 手术 创伤外科
- 胃肠病学 胃肠病学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 急性结肠伪阻塞 (ACPO) 是一种严重的手术并发症.
- 脊柱创伤后ACPO的发生率尚未得到充分确立.
- 这项研究调查了ACPO在经历脊髓融合的重大创伤患者中.
研究的目的:
- 确定ACPO在重创患者中发生的发生率,这些患者因胸部/腰部骨折而经历脊髓融合.
- 描述这个群体中ACPO的性质,治疗和并发症.
主要方法:
- 未来创伤数据库分析 (2015年11月至2021年12月).
- 确定的重大创伤患者接受胸部/腰部脊柱融合骨折.
- 在症状患者中,ACPO被定义为无机械阻塞的放射性结肠扩张.
主要成果:
- 确诊了456名患者;34人患有ACPO (发病率7.5%).
- 基于骨折类型,水平,手术方法或融合段的ACPO率没有差异.
- 没有穿孔; 2名患者需要结肠镜解压,没有需要手术切除.
结论:
- 在需要脊柱融合的重创患者中,ACPO经常发生.
- 在这个队列中,ACPO的治疗一般是直接的.
- 建议在经历脊柱固定的创伤患者中对ACPO进行高度警和早期干预.
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