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乙型肝炎对接受TKR的患者并发症和功能结果的影响

V Ratnakar¹, Ankit Jose¹, Sawankumar Pawar¹

¹Department of Orthopedics, Sunshine Hospitals, PG Road, Secunderabad, 500003 Telangana India.

Indian journal of orthopaedics

|January 1, 2024

概括

接受全膝关节置换 (TKA) 的无症状乙型肝炎病毒 (HBV) 感染患者面临更高的并发症风险,包括感染和伤口问题. 然而,像牛津膝盖得分这样的功能结果在TKA后的HBV阳性和HBV阴性个体之间仍然可比.

科学领域:

整形外科手术整形外科手术
肝病学肝病学是一种肝病学.
传染性疾病传染性疾病

背景情况:

在印度接受全膝关节置换 (TKA) 的患者中,乙型肝炎病毒 (HBV) 感染的患病率增加.
已知HBV感染患者对手术后并发症的敏感性.
需要评估HBV对TKA结局的影响.

研究的目的:

评估无症状HBV感染对TKA后并发症率的影响.
评估HBV对TKA后的功能结果的影响.

主要方法:

对接受初级TKA (2017-2019) 的92名患者进行了回顾性观察分析.
46名无症状的HBV阳性患者与46名匹配的非HBV患者的比较.
分析手术和医疗并发症率和功能结果 (牛津膝关节得分).

主要成果:

无症状的HBV患者的总并发症发生率明显高 (19.57%与4.3%,p<0.001).
乙型肝炎病毒组显示手术并发症的风险增加 (8.6%对2.17%),包括周围假肢关节感染和伤口脱光.
医疗并发症在HBV组中较高 (10.87%对2.17%),整体并发症增加了5.35倍 (p<0.01).

结论:

无症状的乙型肝炎患者患有TKA后并发症的风险较高,例如感染和伤口脱光.
通过牛津膝关节评分测量的功能结果在TKA后的HBV阳性和HBV阴性患者之间是可比的.

关键词:

无症状的乙型肝炎感染.复杂性复杂性复杂性功能性的结果.周围假肢关节感染整体膝关节关节整形术膝关节整形术

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