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缩骨切除术并发症的危险因素:一个多中心的回顾性审查

Yiyang Zhang¹, Ruby Grewal², Martina Vergouwen³

¹Pan Am Clinic, Winnipeg, Manitoba, Canada; Section of Orthopaedic Surgery, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.

The Journal of hand surgery

|July 12, 2023

概括

缩骨切除术 (USO) 的并发症率很高,包括非结合和硬件切除. 避免直接放置椎板,并在USO手术前向患者咨询风险.

科学领域:

整形外科手术整形外科手术
手和手腕的手术手术手术和手腕的手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术
外科手术的结果

背景情况:

缩骨切除术 (USO) 是治疗侧手腕疼痛的常见手术.
诸如非联合和硬件移除等并发症可能发生,影响患者的结果.

研究的目的:

为了确定USO的整体并发症率.
识别与USO并发症相关的风险因素,包括非工会和硬件移除.

主要方法:

在6年内进行的回顾性多中心队列研究.
包括361个公用事业单位,收集有关人口统计,手术技术和并发症的数据.
使用单变量和多变量逻辑回归来识别风险因素的统计分析.

主要成果:

整体并发症率为37.1%,硬件移除率为29.6%,非联合率为9.4%.
工人赔偿索赔是拆除硬件 (OR=3.81) 和非工会 (OR=2.88) 的风险因素.
年龄较小 (OR=0.98) 和男性性别 (OR=2.49) 分别是硬件移除和非工会的风险因素. 直接的椎板放置显著增加了硬件移除风险 (OR=9.93).

结论:

USO与相当大的并发症率有关.
应避免直接放置椎板,以尽量减少硬件移除风险.
关于USO风险的全面患者咨询是必不可少的.

关键词:

复杂性复杂性复杂性硬件拆除硬件拆除没有工会的非工会.部冲击综合征是什么意思关缩短骨质切除术 (osteotomy) 是一种缩短骨质切除术.

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