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在骨骨折的开放缩减和内部固定后,伤口并发症的风险因素

Xiuguo Han¹, Fenglong Chu², Dailiang Jia¹

¹Department of Emergency Surgery, Affiliated Hospital of Jining Medical University, Jining, China.

International wound journal

|December 19, 2023

概括

高龄,低白蛋白和开放骨折增加了脚手术后的伤口并发症. 外科医生的经验和手术量也会影响结果,具体因素与手术部位感染和愈合问题有关.

科学领域:

整形外科手术整形外科手术
伤口并发症伤口并发症
骨折管理骨折管理

背景情况:

开放式缩减和内部固定 (ORIF) 是对脚骨折的常见治疗方法.
伤口并发症,包括手术部位感染 (SSI) 和伤口愈合问题,可能会对ORIF后的患者结果产生负面影响.
识别风险因素对于预防这些并发症至关重要.

研究的目的:

为了确定骨骨折的ORIF后,创伤并发症 (WC) 的独立风险因素.
为了区分手术部位感染 (SSI) 和伤口愈合问题的风险因素.

主要方法:

对613名因脚骨折接受ORIF治疗的患者进行回顾性分析.
患者被分为伤口并发症 (WC) 和无伤口并发症 (NWC) 组.
后勤回归分析用于确定WC,SSI和伤口愈合问题的独立风险因素.

主要成果:

整体伤口并发症率为10.3% (5.2%SSI,5.1%伤口愈合问题).
独立的WC风险因素包括年龄≥65岁,血清白蛋白低 (<35g/L),外围神经病变,开口骨折,手术体积低 (<7例/年),以及主治外科医生水平.
针对SSI (年龄,白蛋白,开口骨折,手术量) 和伤口愈合问题 (白蛋白,神经病变,开口骨折,外科医生水平) 确定了特定的风险因素.

结论:

患者特异性因素 (年龄,白蛋白,神经病变,骨折类型) 和手术团队因素 (体积,外科医生水平) 都会影响关节ORIF后的伤口并发症率.
高龄和低手术体积与SSI风险增加有关.
周围神经病变和下部外科医生的专业知识与增加的伤口愈合问题有关.

关键词:

脚骨折脚骨折在脚上风险因素的风险因素是什么手术部位感染的感染.伤口并发症伤口并发症伤口愈合问题问题

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