胸部成本转移切除术的特征和90天后的并发症根据底层诊断而有所不同
Ashraf N El Naga1, David Gendelberg1, Celeste Tavolaro2
11Department of Orthopaedic Surgery, University of California, San Francisco, California; and.
Journal of neurosurgery. Spine
|September 19, 2023
概括
经过costotransversectomy (TCT) 进行胸腔切除术的近一半患者经历了短期并发症. 这些并发症,包括死亡率和胸腔损伤,可以根据患者的基本诊断,如感染或恶性瘤,显著变化.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 胸部外科手术 胸部外科手术
- 手术并发症 手术并发症
背景情况:
- 胸部成本转移切除术 (TCT) 是一种侵入性脊柱手术.
- TCT与严重的医疗和手术并发症有关.
- 有限的研究比较了不同患者诊断的TCT并发症.
研究的目的:
- 分析TCT后的手术特征和90天并发症率.
- 根据底层诊断来比较手术和医疗并发症.
- 确定与TCT相关的诊断特定风险.
主要方法:
- 在10年内接受TCT的123名患者的回顾性图表审查.
- 诊断的评估包括感染,恶性瘤,创伤和形.
- 在90天内评估手术细节,并发症,死亡率和重新手术.
主要成果:
- 48%的患者至少出现了一种并发症,18%患有多种并发症.
- 恶性病的诊断与更高的90天死亡率 (19%与5%相比) 和增加的肺部损伤相关.
- 感染诊断与更多的多层次体检有关.
- 两组之间没有观察到重复手术率,神经损伤或持续撕裂的显著差异.
结论:
- 接受TCT治疗的近一半患者面临短期并发症.
- 并发症的发生率和类型根据患者的初始诊断而有所不同.
- 诊断特定的风险分层对于管理TCT结果至关重要.
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