肋骨边缘损伤和跨腹膜间肋骨:根据谢菲尔德分类表现,管理和结果
Jonathan L Byers1, Jagan N Rao, Laura Socci
1From the Department of Thoracic Surgery, Sheffield Teaching Hospitals NHS Trust, Sheffield, England.
The journal of trauma and acute care surgery
|August 3, 2023
概括
肋骨边缘破裂 (CMR) 损伤经常被忽视和不一致的治疗. 谢菲尔德分类系统有效地与受伤模式相关,并指导这些胸壁受伤的管理决策.
科学领域:
- 创伤外科 手术 创伤外科
- 胸部外科手术 胸部外科手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 肋骨边缘破裂 (CMR) 损伤经常被诊断不足,并且管理不一致.
- 这些伤害给患者带来了显著的症状负担.
- 对CMR损伤的谢菲尔德分类系统是为了标准化诊断和管理而开发的.
研究的目的:
- 评估谢菲尔德CMR损伤分类与特定损伤模式之间的关联.
- 确定谢菲尔德分类是否与CMR损伤的不同管理选项相关.
- 研究CMR损伤特征与患者表现之间的关系.
主要方法:
- 在英国主要的创伤中心从2006-2023年收集未来的数据.
- 分析了计算机断层扫描 (CT) 扫描以使用谢菲尔德分类来分类伤害.
- 对54名患者的临床,放射学,管理和结果变量进行了评估.
主要成果:
- 在30名患者中存在肋间间 (IH),与延迟呈现,排斥性损伤机制,较高的BMI和手术管理有关.
- 观察到破裂水平的双模分布,IH和驱逐性损伤主要发生在第九肋骨软骨上.
- 管理包括保守的 (23) 和手术 (31) 方法,各种修复技术和相关程序,如肋骨骨折稳定.
结论:
- 谢菲尔德分类证明了与患者表现,胸壁损伤模式和最终管理的统计学关联.
- 建议进一步收集多中心数据,以建立CMR损伤的最佳管理策略.
- 该分类系统有助于理解海岸边缘断裂的复杂性和指导治疗.
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