刚性板固定用于关闭创伤出现的椎切割
April A Grant1, Cameron Moore2, Randi N Smith3
1Department of Surgery, Saint Alphonsus Regional Medical Center, Boise, ID, USA.
The American surgeon
|October 16, 2023
概括
刚性板固定 (RPF) 和电线圈 (WC) 在创伤患者的新出现的椎切开术中显示出类似的并发症率. 这项研究支持RPF作为这一关键患者群体中胸部关闭的可行选择.
科学领域:
- 创伤外科 手术 创伤外科
- 手术创新 在外科创新.
- 胸部重建 胸部重建
背景情况:
- 在创伤护理中,突发性椎切除术至关重要.
- 关闭方法包括电线圈 (WC) 和刚性板固定 (RPF).
- 没有先前的研究比较了RPF和WC在创伤中出现的椎切除术.
研究的目的:
- 为了比较刚性板固定与外伤患者新出现的胸骨切割术的线圈结合的并发症率.
- 为了评估在这个设置中固定刚性板的可行性.
主要方法:
- 创伤患者接受突发性胸腔切除术 (2018-2021) 的回顾性队列研究.
- 使用线圈 (WC) 和刚性板固定 (RPF) 进行胸关闭的患者之间的结果比较.
主要成果:
- 每组有11名患者 (WC与RPF).
- 人口统计,国际空间站或入学特征没有显著差异.
- 类似的伤口并发症率 (WC: 27%,RPF: 9%,P=.58) 也是相似的.
- 在住院,ICU住院或通风器上没有显著差异.
- 所有患者都存活到出院.
结论:
- 刚性板固定是一种可行的选择,可以在新出现的创伤胸切除术中进行胸关闭.
- 在RPF和WC之间没有观察到与伤口相关的并发症的差异.
- 这项研究为未来对创伤胸腔切除关闭技术的前性研究提供了基础.
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