在接受关节固定的患者中,常规的术后胸部X射线扫描的实用性:回顾性图表审查
Joshua Del Papa1, Josh Hobson1, Steve Mann2
1School of Medicine, Queen's University, Kingston, Ont. (Del Papa); Department of Surgery, Queen's University, Kingston, Ont. (Hobson, Mann).
Canadian journal of surgery. Journal canadien de chirurgie
|September 6, 2023
概括
关节骨骨折手术后的常规术后胸部X射线图通常是不必要的. 这项研究在接受这些治疗的患者中没有发现肺胸病例,这表明有可能降低成本和辐射暴露.
科学领域:
- 整形外科手术 整形外科手术
- 胸部外科手术 胸部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 肺胸骨是关节骨骨折的开放缩小和内部固定 (ORIF) 后的一种罕见但严重的并发症.
- 常规的术后胸部放射是检测阴性肺胸部的常见做法.
- 人们对医疗费用,辐射暴露和小肺胸部放射图的低灵敏度存在担忧.
研究的目的:
- 评估在关节骨骨折的ORIF后需要进行常规的术后胸部X射线图.
- 为了确定在接受这种手术的患者中发生的阳性肺胸部发病率.
主要方法:
- 在2009年4月至2020年6月期间,对275名接受了关节骨骨折ORIF的患者进行了回顾性审查.
- 排除患有手术前肺胸炎的患者.
- 术后胸部X射线图和肺胸部检测频率的计算.
主要成果:
- 在275名患者中,101名 (36.7%) 接受了术后胸部放射.
- 在接受X射线图的101名患者中,没有一个患有阳性肺胸病.
- 这是迄今为止研究这种做法的最大系列.
结论:
- 在关节骨骨折的ORIF之后,术后阴性肺胸的发生率非常低.
- 关节骨骨折的ORIF之后的常规术后胸部X射线可能是不必要的.
- 停止常规的术后成像可以降低成本和辐射暴露.
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