部骨折后的延迟手术会影响静脉血栓栓塞的发生率
Takuya Taoka1, Takao Ohmori2, Tomoko Kanazawa2
1Department of Orthopaedic Surgery, Kobe Red Cross Hospital, Kobe City, Hyogo, 651-0073, Japan. taokatakuya@gmail.com.
Journal of orthopaedic surgery and research
|August 28, 2023
概括
延迟关节骨折手术超过48小时会增加静脉血栓栓塞 (VTE) 和近道深静脉血栓塞 (DVT) 的风险. 迅速的手术干预对于患者的治疗结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 血管外科 血管外科
- 老年医学 老年医学
背景情况:
- 静脉血栓塞栓症 (VTE) 是骨折手术后的常见并发症.
- 手术延迟对部骨折后静脉瘤发病率的影响需要澄清.
研究的目的:
- 调查延迟手术与部骨折患者的静脉动脉突发症发生率之间的关联.
- 在部骨折手术后识别VTE和近道深静脉血栓 (DVT) 的危险因素.
主要方法:
- 追溯分析了862名65岁以上的接受关节骨折手术的患者 (2010年10月至2020年12月).
- 研究了手术延迟>48小时伤害后对术后静脉瘤的影响.
- 用于识别VTE和近距离DVT的风险因素的物流回归分析.
主要成果:
- 在40%的患者 (436/862) 中发生了静脉瘤,在5.6%的患者 (48/862) 中发生了近距离深血管瘤.
- 单变量分析显示,VTE和非VTE组之间的创伤至手术时间存在显著差异.
- 多变量分析证实了手术延迟>48小时作为VTE和近端DVT的危险因素.
结论:
- 部骨折后的手术延迟超过48小时是VTE的重要危险因素.
- 延迟手术增加了骨骨折后发生近道深静脉血栓形成的风险.
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