玻璃甲状腺手术后需要改变治疗计划的早期并发症的发生率:韩国的一项单中心研究
Ji Hyun Yoon1, Jae Hui Kim2, Chul Gu Kim1
1Department of Ophthalmology, Kim's Eye Hospital, #156 Youngdeungpo-dong 4ga, Youngdeungpo-gu, Seoul, 150-034, South Korea.
BMC ophthalmology
|June 18, 2023
概括
在16.3%的患者中,治疗计划发生了改变,这主要是由于眼内压力增加. 外科医生的经验和手术类型影响了这些变化,影响了标准化的护理.
科学领域:
- 眼科医生 眼科 眼科
- 外科手术的结果
- 患者管理 患者管理
背景情况:
- 术后治疗计划的修改对于患者护理和标准化协议至关重要.
- 了解这些变化的频率和原因有助于优化手术后的患者管理.
研究的目的:
- 为了确定早期并发症的发生率,需要在玻璃甲状腺手术后改变治疗计划.
- 确定与这些治疗计划修改相关的风险因素.
主要方法:
- 一个回顾性分析465名患者在一个中心接受了视网膜外科手术.
- 评估14天内治疗计划的变化,包括原因,发病率和时间.
- 分析患者人口统计,外科医生经验,诊断和手术类型作为潜在的风险因素.
主要成果:
- 在手术后14天内,16.3%的患者 (76/465) 改变了治疗计划.
- 眼内压升高是改变计划的主要原因 (86.8%).
- 气/油吸管和经验较少的外科医生 (分别P < 0.001和P = 0.034) 观察到更高的计划变化的发生率.
结论:
- 经过视网管外科手术后的16.3%的患者发生了治疗计划的修改.
- 外科医生的经验和手术方法 (例如,吸管类型) 是改变计划的重要风险因素.
- 研究结果强调,在制定标准化术后护理计划时,需要考虑这些因素.
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