胸壁损伤协会推非联合肋骨骨折的手术稳定,以减轻疼痛,减少阿片类药物使用,并改善受创后肋骨骨折非联合患者的患者报告结果
Joseph D Forrester1, Zachary M Bauman, Peter A Cole
1From the Division of General Surgery, Department of Surgery (J.D.F., A.K.), Stanford University, Stanford, California; Division of Acute Care Surgery (Z.M.B.), University of Nebraska Medical Center, Omaha, Nebraska; HealthPartners Orthopaedics and Sports Medicine (P.A.C.), Bloomington, Minnesota; Department of Orthopaedic Surgery (P.A.C., M.L.), University of Minnesota, Minneapolis, Minnesota; Department of Orthopaedic Surgery (P.A.C.), Regions Hospital, Saint Paul, Minnesota; Sheffield Teaching Hospitals NHS Trust (J.G.E.), Sheffield, United Kingdom; and Center for Trauma and Critical Care (T.R., T.W.W.), Department of Surgery (T.R., S.K.), George Washington University School of Medicine and Health Sciences, Washington, District of Columbia.
非联合肋骨骨折 (SSNURF) 的手术稳定可能会减少疼痛,并改善肋骨非联合患者的结果. 然而,除了这些低质量的证据外,还必须考虑硬件故障和感染等潜在风险.
科学领域:
- 创伤外科手术是什么
- 整形外科 整形外科 整形外科
- 胸壁的重建 胸壁的重建
背景情况:
- 肋骨骨折很常见,经常导致疼痛和残疾.
- 肋骨骨折的一个子集发展为非工会,带来管理挑战.
- 目前对非联合肋骨骨折的治疗缺乏标准化的建议.
研究的目的:
- 为手术稳定非联合肋骨骨折 (SSNURF) 制定临床建议.
- 为管理创伤性肋骨骨折非工会提供指导.
主要方法:
- 胸壁损伤协会 (CWIS) 委员会召开会议,制定建议.
- 在PubMed,Embase和Cochrane数据库中的系统文献搜索.
- 代的共识过程,对建议进行投票.
主要成果:
- 没有研究直接将SSNURF与替代治疗方法进行比较.
- 对SSNURF的证据质量被评为低,并确定了偏差风险.
- 低质量的证据表明,SSNURF可以减少疼痛,阿片类药物使用,并改善患者的治疗结果.
- 潜在的风险包括症状硬件故障和感染.
结论:
- CWIS为SSNURF提供了在管理肋骨非结合时的建议.
- 必须权衡SSNURF的好处与风险.
- 该指南解决了一个具有挑战性的临床问题,证据有限.
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