怀孕,部疼痛和整体部置换
Elizabeth G Garcia1, Gareth H Prosser, Thomas A Bucher
1Fiona Stanley Hospital, Perth, Australia.
The Journal of bone and joint surgery. American volume
|July 26, 2023
概括
接受全关节置换 (THR) 的年轻女性面临更高的修复风险. 然而,THR后的怀孕不会增加并发症或修订风险,无论分娩方式如何.
科学领域:
- 整形外科手术 整形外科手术
- 生殖健康 生殖健康
- 生物医学工程 生物医学工程
背景情况:
- 年轻女性 (15-45岁) 的整体关节置换 (THR) 与老年女性 (>75岁) 相比,与修复手术的风险更高有关.
- 在患有THR的生育年龄女性中,有很大比例的女性 (12-17%) 在手术后怀孕.
研究的目的:
- 为了评估经过全关节置换的女性怀孕的安全性和结果.
- 评估怀孕和分娩对THR妇女的修订率和并发症风险的影响.
主要方法:
- 现有文献和对THR女性的有限研究的综述,后者随后怀孕.
- 分析妊娠并发症,怀孕期间的疼痛和分娩后的结果,包括修订率和与植入物有关的问题 (骨折,脱,松).
主要成果:
- 与老年女性相比,接受THR的年轻女性的修订风险增加.
- 患有THR妇女的怀孕并没有导致怀孕并发症的风险增加.
- 在怀孕期间经历部疼痛的妇女中 (60%),21%的疼痛持续,4%报告严重疼痛.
- 无论分娩方式如何,分娩并没有增加修订率或并发症.
结论:
- 对于全关节置换的女性来说,怀孕和分娩通常是安全的,没有并发症或修复手术的高风险.
- 虽然有些妇女在怀孕期间可能会经历过渡性或持续性部疼痛,但这似乎不会损害植入物或导致不良结果.
- 产生的方式不会影响THR妇女的修订率或并发症.
相关概念视频
Appendicitis-I: Introduction
249
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
249
Abdominal Regions and Quadrants
8.7K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
8.7K
Mitral Valve Prolapse III: Nursing Management
17
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
17
Bones of the Lower Limb: Femur and Patella
2.6K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.6K


