在儿童患者的植入物切除后,常规的早期术后放射图没有发现任何价值
M Tyrel Garner1, Kristen Ibanez, Mehmet Erkilinc
1From the University of Central Florida College of Medicine, Orlando, FL (Garner and Ibanez), Department of Orthopedics, Nemours Children's Hospital Florida, Orlando, FL (Erkilinc, Espina-Rey, Ilgenfritz, Lovejoy, and Malone).
在儿童植入物切除后的常规术后放射图很少改变患者的治疗. 这些成像研究带来了成本和辐射暴露,没有显著的临床益处,这表明需要重新评估它们在儿科骨科中的常规使用.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形医生 儿科整形医生
- 放射学 放射学是指放射学
背景情况:
- 移除植入物在儿科患者中很常见.
- 植入物部位的骨折是移除后的一个担忧.
- 常规的早期术后放射是标准的,但其价值尚未得到证实.
研究的目的:
- 评估儿科患者在选择性骨科植入物切除后早期术后放射图的有用性.
- 为了确定常规射线图是否会改变术后管理或识别并发症.
主要方法:
- 对接受肢体植入物切除的儿科患者进行回顾性队列研究 (2017-2019).
- 收集的数据包括人口统计数据,植入点,并发症,放射频率,辐射剂量和成本.
- 分析的重点是基于早期放射图的术后计划的变化.
主要成果:
- 包括290名患者;0.69% (2周) 和1.72% (6周) 的患者因X射线图导致管理变化.
- 没有统计学上显著的差异在管理变化与无X射线图的患者之间.
- 每次X射线扫描的平均成本为103美元,平均辐射暴露为1.34mSv;没有发生移除后骨折.
结论:
- 在例行儿科植入物切除后的早期术后射线图 (2周和6周) 很少改变临床管理计划.
- 由于管理层的变化率较低,这些放射图的常规使用可能不具有成本效益或利益.
- 研究结果表明,在这种患者群体中,重新考虑日常早期术后成像的必要性.
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