减少与排水相关的不良事件,使用刺针法来关闭胸管伤口
Shohei Mori1, Makoto Odaka2, Yu Suyama2
1Department of Surgery, The Jikei University Kashiwa Hospital, 163-1 Kashiwashita, Kashiwashi, Chiba, 277-8567, Japan. shoheijapan@jikei.ac.jp.
General thoracic and cardiovascular surgery
|January 12, 2024
概括
与胸腔外科手术中的常规 sutures 相比,刺针 suture 方法显著减少了与胸腔管排水有关的不良事件. 这种创新技术为伤口关闭提供了更安全的替代方案,改善了患者的治疗结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术伤口管理手术伤口管理
- 医疗设备创新 医疗设备创新
背景情况:
- 胸腔管在一般胸部手术中是标准的.
- 对于胸腔管封闭的传统法有其局限性.
- 刺在排水管理中的有效性需要澄清.
研究的目的:
- 为了评估刺刺方法的有效性.
- 为了比较刺和传统法之间的排水相关的不良事件.
- 为了确定刺针是否可以减少胸部手术患者的并发症.
主要方法:
- 对250名接受一般胸部手术的患者的回顾性评估 (2021年1月至2022年12月).
- 刺与传统方法的比较,用于胸腔管的伤口关闭.
- 排水相关不良事件的单变量和多变量分析.
主要成果:
- 刺方法与排水相关的不良事件较少相关 (OR 0.267,P=0.007).
- 不良事件的危险因素包括更高的BMI,恶性瘤,脑腔切除术,更长的手术时间,更大的管子尺寸和更长的排水时间.
- 多变量分析确定了刺针法作为一种保护因素.
结论:
- 刺方法显著减少了与排水有关的不良事件.
- 这种方法显示出作为胸管伤口关闭的新标准的潜力.
- 实施刺针可以提高胸部手术中的患者安全.
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