在老年人中紧急椎间盘 Hernia 修复的结果:回顾性分析
Natalie B Baxter1, Hiba F Pediyakkal1, Lexis J DeShazor-Burnett1
1University of Michigan Medical School, Ann Arbor, Michigan.
The Journal of surgical research
|October 14, 2023
概括
紧急的半体修复 (PHR) 具有很高的并发症率,但骨复位或逆转可以减少30天的并发症和重复手术,改善患者的治疗结果.
科学领域:
- 一般外科 整体外科
- 胃肠病学 胃肠病学
- 外科手术的结果
背景情况:
- 门是常见的,许多病例没有进行手术修复.
- 紧急的半体修复 (PHR) 是一个重要的关注后,口腔创建,但它的发病率和长期的结果仍然在很大程度上是未知的.
研究的目的:
- 评估PHR紧急情况后的并发症,再入院,再手术,住院和死亡率.
- 确定不同手术方法与紧急PHR后患者结果之间的关联.
主要方法:
- 对2007-2015年100%的医疗保险索赔数据进行了回顾性分析.
- 后勤回归和Cox比例危险模型被用来分析基于外科手术方法的结果 (例如,骨髓逆转,复位,网状,微创,肌肌膜).
主要成果:
- 共有6658名患者接受了紧急PHR.
- 与局部修复相比,30天的并发症率为62.3%,骨髓复位与并发症的几率较低相关 (OR 0.82).
- 经过5年的累计重复手术发生率为12.0%,尤其是对于经过PHR与骨髓逆转 (HR 0.15) 的患者来说是最低的.
结论:
- 紧急PHR与严重的发病率有关.
- 手术技术的选择,比如 ostomy resiting 或 reversal,可以显著影响结果.
- 了解紧急PHR的预后对于改善临床决策和患者咨询至关重要.
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