青少年异常脊椎病和怀孕的原因
Khizar R Nandoliya1, Nishanth S Sadagopan1, Amr Alwakeal1
1Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, USA.
Cureus
|November 13, 2023
概括
怀孕可能会加剧背部疼痛,并使青春期异常学脊椎病 (AIS) 妇女的麻醉复杂化. 需要进一步的研究才能充分理解怀孕.
科学领域:
- 整形外科 整形外科 整形外科
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
背景情况:
- 青少年异形脊柱病 (AIS) 是一种影响青少年的脊柱形.
- 怀孕对AIS进展和结果的影响尚未完全理解.
研究的目的:
- 为了检查AIS患者的怀孕结果.
- 为了评估AIS患者怀孕期间背部疼痛的变化.
- 评估AIS患者在分娩期间的麻醉使用和挑战.
主要方法:
- 对2006年至2022年间分娩的成人AIS患者的回顾性分析.
- 收集关于怀孕结果,背痛和麻醉类型的数据.
- 在一小部分患者中分析了放射变化 (科布角度).
主要成果:
- 分析了163名AIS患者,其中263名怀孕.
- 大多数交付都是按期 (90.4%).
- 6.1%的病例报告说神经轴麻醉有困难.
- 67.2%的患者报告说,怀孕期间背部疼痛增加.
- 放射图显示,一些患者在怀孕后出现脊椎病的进展.
结论:
- 怀孕可能会加剧AIS患者的背痛.
- 神经轴麻醉在AIS患者中可能具有挑战性.
- 需要进一步的大规模研究才能全面理解.
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