萨托里乌斯片重建后的伤口并发症的风险因素和后果
Roberto S Loanzon1, Young Kim1, Antanina Voit1
1Division of Vascular and Endovascular Surgery, Department of Surgery, Duke University, Durham, NC.
Journal of vascular surgery
|October 6, 2023
概括
萨托里乌斯片的重建有效地帮助血管手术后的沟伤口愈合. 然而,感染和消亡等并发症是常见的,特别是在BMI较高的患者中,需要仔细选择患者.
科学领域:
- 血管外科 血管外科
- 整形外科 整形外科 整形外科
- 伤口愈合 治愈 伤口愈合
背景情况:
- 血管外科手术后常见的伤并发症,增加了患者的发病率.
- 萨尔托里乌斯肌肉盖被用来防止在伤口脱落或感染的情况下移植感染.
- 风险因素和 sartorius 片重建的结果需要进一步调查.
研究的目的:
- 为了调查伤口复杂性的风险因素和后果后的萨托里乌斯片重建沟伤口.
主要方法:
- 从2012年到2022年,一家高等学术医疗中心对113名接受沙托里乌斯片重建的患者进行了回顾性审查.
- 收集的数据包括患者人口统计学,并发症,手术指示和术后结果.
- 主要结局是伤口并发症,定义为沟伤口感染,脱落或淋巴皮质.
主要成果:
- 二十九名患者 (25.7%) 经历了伤口并发症,包括感染和消失.
- 患有并发症的患者的BMI较高 (28.8 vs 26.4 kg/m2,P=.03) 并且更经常是活跃吸烟者 (86.2% vs 66.7%,P=.04).
- 并发症与增加的30天再入院 (72.4%对15.5%,P<.001) 和重新干预 (75.9%对8.3%,P<.001) 相关.
结论:
- 萨尔托里乌斯片重建是有效的沟伤口愈合,但与严重的并发症相关.
- 较高的BMI是一个独立的风险因素,可以导致后的伤口并发症.
- 建议在高风险患者中明智地使用 sartorius 片,以减轻并发症和相关的不良结果.
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