脊椎形对椎发生和复发的影响
Naveen Perisetla1, William N Doyle1, Lauren Ladehoff1
1Division of Gastrointestinal Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, 5 Tampa General Circle, Suite 740, Tampa, FL, 33606, USA.
概括
脊椎形患者在修复后面临较高的椎复发风险. 这些人往往有更大的,并更快地复发,需要专门的护理和手术前咨询.
科学领域:
- 胃肠病学 胃肠病学
- 整形外科 整形外科 整形外科
- 外科手术的结果
背景情况:
- 脊柱形,如形,形和脊柱形可能是相关的.
- 这项研究调查了脊柱形和椎间的复发风险之间的关联.
研究的目的:
- 为了确定脊柱形是否会增加沟复发的风险.
- 为了确定脊柱形是否与特定的沟类型或大小有关.
主要方法:
- 对546名接受椎间修复的患者 (1997-2022) 的回顾性分析.
- 收集的数据包括患者人口统计数据,脊柱形特征 (类型,科布角),椎间的细节 (类型,大小) 和复发信息 (速率,时间,重新手术).
主要成果:
- 15.8%的患者患有脊柱形 (脊椎病最常见).
- 脊柱形患者患有较大的椎间 (III/IV型) 和明显更高的复发率 (47.7%vs30.0%),复发时间更短.
- 科布角度没有影响复发.
结论:
- 脊柱形与更复杂,更大的椎间有关.
- 脊椎形患者患椎的风险增加,复发时间缩短.
- 这一患者群需要加强手术前咨询和考虑外科辅助.
相关概念视频
Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
323
Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...
323
Barrett Esophagus-II: Clinical Manifestations and Management
164
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
164
Esophageal Strictures-I: Introduction
112
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
112
Esophageal Perforation-II: Clinical Manifestations and Management
69
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
69


