在患有根本性缺食症的患者中评估ACDF后的缺食症持续时间和严重程度 - - 一项前性多中心研究
Aditya Mazmudar1, Taylor Paziuk1, Khoa S Tran1
1Department of Orthopaedic Surgery, Rothman Orthopaedic Institute and Thomas Jefferson University, Philadelphia, PA, USA.
Global spine journal
|September 6, 2023
概括
经过前椎切除和融合 (ACDF) 的术前消化障碍患者经历了长期和更严重的术后吞困难. 对这种风险的认识对于知情的外科决策至关重要.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 退行性脊柱疾病 退行性脊柱疾病
背景情况:
- 在前椎间盘切除和融合 (ACDF) 之后,缺食是常见的担忧.
- 了解手术前吞功能对术后结果的影响对于患者管理至关重要.
研究的目的:
- 为了前性地评估手术前的消化障碍如何影响ACDF后消化障碍的发病率和严重程度.
- 为了确定与ACDF患者的食障碍相关的危险因素和长期结果.
主要方法:
- 一项前性队列研究招募了168名为退行性疾病接受选用ACDF的患者.
- 术前和连续术后的食障碍评估是使用验证的问卷进行的 (Bazaz, DSQ, EAT-10).
- 统计分析比较了手术前食障碍患者和没有手术前食障碍患者之间的结果.
主要成果:
- 在ACDF后的2周和24周,患有手术前食障碍的患者表现出显著更高的食障碍率和严重程度.
- 在多个术后时间点中,在手术前的消化障碍组中观察到更高的Bazaz,DSQ和EAT-10分数.
- 两组之间的人口或手术变量没有发现显著差异.
结论:
- 手术前的消化不良是ACDF后长期和更严重的术后消化不良的重要预测因素.
- 外科医生必须告知患者,在手术后24周后可能出现持续的吞困难.
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