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术后并发症与前宫切除术和三年随访相关
Bratislavske lekarske listy
|February 22, 2024
概括
前椎间盘切除术 (ACD) 对于宫退行性磁盘疾病 (DDD) 的并发症率较低. 高BMI,长时间的手术和流血是危险因素,但并发症不会显著影响长期的生活质量.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
背景情况:
- 前椎切除术 (ACD) 是用于宫退行性磁盘疾病 (DDD) 的外科手术.
- 虽然通常是安全的,但术后并发症可能会影响患者的康复.
- 识别风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定ACD后术后并发症的独立风险因素.
- 评估接受ACD的患者的长期生活质量.
- 评估术后并发症对患者报告结果的影响.
主要方法:
- 在2015年1月至2019年12月期间,对789名为DDD接受ACD的患者进行了回顾性分析.
- 统计分析以确定并发症的独立风险因素.
- 使用视觉模拟疼痛量表 (VAS) 和部残疾指数 (NDI) 在三年随访后评估生活质量.
主要成果:
- 术后并发症发生在789名患者中的88名患者 (11.2%).
- 有关并发症的独立风险因素包括BMI>23.5,手术持续时间>82.5分钟,失血>95毫升.
- 尽管有并发症,但在三年后的随访中,患者的整体生活质量得到改善,并发症和无并发症组之间没有显著差异.
结论:
- ACD显示手术后并发症的发生率很低.
- 体重指数升高,手术时间延长和血液流失增加是显著的危险因素.
- 在ACD后的术后并发症不会显著影响患者的长期生活质量.
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